Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $457.09 / $6,165.95	Facility		$109.65	$457.09	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $446.68	Professional		$79.43	$134.90	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
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 $102.33 / $141.25 / $239.88	Professional		$102.33	$141.25	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $208.93	Professional		$79.43	$120.23	$208.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $213.80	Professional		$123.03	$169.82	$213.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $218.78	Professional		$100.00	$138.04	$218.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $1,096.48	Facility		$331.13	$562.34	$1,096.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $120.23	Professional		$114.82	$114.82	$120.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $467.74 / $5,370.32	Facility		$109.65	$467.74	$5,370.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $338.84	Professional		$81.28	$138.04	$338.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $223.87	Facility		$218.78	$218.78	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $295.12	Professional		$190.55	$199.53	$295.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $112.20 / $691.83	Facility		$53.70	$112.20	$691.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $100.00 / $309.03	Professional		$53.70	$100.00	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $676.08 / $3,890.45	Facility		$223.87	$676.08	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $181.97	Professional		$75.86	$109.65	$181.97