Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,862.09 / $5,128.61	Facility		$331.13	$1,862.09	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $234.42 / $1,148.15	Professional		$74.13	$234.42	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $128.82	Professional		$60.26	$79.43	$128.82
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 $302.00 / $602.56 / $912.01	Professional		$302.00	$602.56	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $323.59 / $741.31	Professional		$91.20	$323.59	$741.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $602.56	Professional		$426.58	$549.54	$602.56
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $467.74 / $724.44	Professional		$97.72	$467.74	$724.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,513.56 / $2,398.83	Facility		$630.96	$1,513.56	$2,398.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $398.11	Professional		$91.20	$95.50	$398.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,778.28 / $5,011.87	Facility		$346.74	$1,778.28	$5,011.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $323.59 / $1,071.52	Professional		$77.62	$323.59	$1,071.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $831.76	Facility		$549.54	$549.54	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,584.89	Professional		$512.86	$676.08	$1,584.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $251.19 / $354.81	Facility		$83.18	$251.19	$354.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $251.19 / $389.05	Professional		$83.18	$251.19	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,584.89 / $3,890.45	Facility		$501.19	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $229.09 / $707.95	Professional		$79.43	$229.09	$707.95