Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $4,786.30 / $8,511.38	Facility		$165.96	$4,786.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $123.03 / $407.38	Professional		$56.23	$123.03	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
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 $208.93 / $208.93 / $257.04	Professional		$208.93	$208.93	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $117.49 / $194.98	Professional		$58.88	$117.49	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $102.33 / $223.87	Professional		$28.84	$102.33	$223.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $234.42	Professional		$83.18	$147.91	$234.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $891.25	Facility		$467.74	$467.74	$891.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $134.90	Professional		$123.03	$131.83	$134.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,801.89 / $8,317.64	Facility		$436.52	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $123.03 / $302.00	Professional		$56.23	$123.03	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $102.33 / $134.90	Facility		$61.66	$102.33	$134.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $239.88	Professional		$61.66	$112.20	$239.88
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 $57.54 / $107.15 / $199.53	Professional		$57.54	$107.15	$199.53