Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $2,290.87 / $7,762.47	Facility		$199.53	$2,290.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $151.36 / $562.34	Professional		$74.13	$151.36	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $147.91	Professional		$57.54	$112.20	$147.91
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 $173.78 / $173.78 / $269.15	Professional		$173.78	$173.78	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $223.87	Professional		$81.28	$134.90	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $245.47	Professional		$173.78	$223.87	$245.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $257.04	Professional		$100.00	$162.18	$257.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $660.69 / $1,148.15	Facility		$309.03	$660.69	$1,148.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $173.78	Professional		$125.89	$147.91	$173.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,819.70 / $7,244.36	Facility		$426.58	$1,819.70	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $346.74	Professional		$77.62	$144.54	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $83.18 / $190.55	Facility		$75.86	$83.18	$190.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $309.03	Professional		$75.86	$89.13	$309.03
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 $75.86 / $123.03 / $213.80	Professional		$75.86	$123.03	$213.80