Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $467.74 / $2,691.53	Facility		$117.49	$467.74	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $120.23 / $371.54	Professional		$43.65	$120.23	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $117.49	Professional		$37.15	$56.23	$117.49
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 $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $93.33 / $165.96	Professional		$44.67	$93.33	$165.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $194.98	Professional		$138.04	$177.83	$194.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $234.42	Professional		$95.50	$151.36	$234.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $446.68 / $588.84	Facility		$213.80	$446.68	$588.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $93.33	Professional		$91.20	$91.20	$93.33
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $977.24 / $1,778.28	Facility		$218.78	$977.24	$1,778.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $478.63 / $2,344.23	Facility		$117.49	$478.63	$2,344.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $97.72 / $316.23	Professional		$43.65	$97.72	$316.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $537.03 / $1,047.13	Facility		$446.68	$537.03	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $74.13 / $97.72	Facility		$4.90	$74.13	$97.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $74.13 / $138.04	Professional		$6.31	$74.13	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $630.96 / $3,890.45	Facility		$223.87	$630.96	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $89.13 / $173.78	Professional		$42.66	$89.13	$173.78