Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,691.53 / $8,317.64	Facility		$239.88	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $331.13	Professional		$117.49	$162.18	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $194.98	Professional		$131.83	$131.83	$194.98
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 / $151.36 / $263.03	Professional		$144.54	$151.36	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	54	$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $269.15	Professional		$120.23	$158.49	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $331.13	Professional		$190.55	$263.03	$331.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $263.03	Professional		$87.10	$162.18	$263.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,023.29 / $1,380.38	Facility		$257.04	$1,023.29	$1,380.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $169.82	Professional		$91.20	$151.36	$169.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,089.30 / $7,762.47	Facility		$478.63	$2,089.30	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $363.08	Professional		$120.23	$177.83	$363.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $295.12	Facility		$138.04	$138.04	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $331.13	Professional		$147.91	$158.49	$331.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $120.23 / $138.04	Facility		$53.70	$120.23	$138.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $120.23 / $158.49	Professional		$53.70	$120.23	$158.49
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 $112.20 / $151.36 / $251.19	Professional		$112.20	$151.36	$251.19