Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $954.99 / $8,317.64	Facility		$123.03	$954.99	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $131.83 / $549.54	Professional		$45.71	$131.83	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $109.65 / $134.90	Professional		$43.65	$109.65	$134.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $208.93	Professional		$138.04	$194.98	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $97.72 / $165.96	Professional		$47.86	$97.72	$165.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $85.11 / $199.53	Professional		$23.99	$85.11	$199.53
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $128.82 / $204.17	Professional		$63.10	$128.82	$204.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $512.86 / $1,023.29	Facility		$281.84	$512.86	$1,023.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $134.90	Professional		$77.62	$112.20	$134.90
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $426.58 / $426.58	Professional		$104.71	$426.58	$426.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,122.02 / $8,317.64	Facility		$154.88	$1,122.02	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $109.65 / $331.13	Professional		$45.71	$109.65	$331.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $74.13 / $177.83	Facility		$46.77	$74.13	$177.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $177.83	Professional		$45.71	$74.13	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $616.60 / $3,890.45	Facility		$223.87	$616.60	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $165.96	Professional		$44.67	$87.10	$165.96