Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,513.56 / $7,244.36	Facility		$363.08	$1,513.56	$7,244.36
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.42 / $645.65 / $645.65	Facility	54	$275.42	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $1,174.90	Professional		$288.40	$398.11	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $57,543.99	Facility		$1,174.90	$1,230.27	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $478.63	Professional		$436.52	$436.52	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	54	$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $645.65	Professional		$281.84	$389.05	$645.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $812.83	Professional		$478.63	$645.65	$812.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $691.83	Professional		$309.03	$467.74	$691.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $549.54 / $1,096.48	Facility		$316.23	$549.54	$1,096.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $416.87	Professional		$331.13	$363.08	$416.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,412.54 / $7,079.46	Facility		$363.08	$1,412.54	$7,079.46
Martin's Point Facility/Professional Facility Modifier 54 Low / Median / High Price $275.42 / $275.42 / $645.65	Facility	54	$275.42	$275.42	$645.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $977.24	Professional		$302.00	$467.74	$977.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $724.44	Facility		$331.13	$331.13	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $416.87 / $758.58	Professional		$346.74	$416.87	$758.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $295.12 / $354.81	Facility		$72.44	$295.12	$354.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $302.00 / $363.08	Professional		$72.44	$302.00	$363.08
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 $269.15 / $371.54 / $602.56	Professional		$269.15	$371.54	$602.56