Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,570.40 / $7,762.47	Facility		$288.40	$2,570.40	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $954.99	Professional		$181.97	$288.40	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $741.31	Professional		$331.13	$501.19	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $489.78	Professional		$186.21	$288.40	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $524.81	Professional		$371.54	$478.63	$524.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $549.54	Professional		$213.80	$363.08	$549.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $3,162.28	Facility		$1,047.13	$1,584.89	$3,162.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $338.84	Professional		$269.15	$309.03	$338.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,290.87 / $7,244.36	Facility		$346.74	$2,290.87	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $724.44	Professional		$186.21	$309.03	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $416.87 / $416.87	Facility		$208.93	$416.87	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $416.87	Professional		$190.55	$302.00	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,584.89 / $3,890.45	Facility		$467.74	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $489.78	Professional		$177.83	$275.42	$489.78