Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,778.28 / $7,244.36	Facility		$208.93	$1,778.28	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $436.52	Professional		$131.83	$169.82	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
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 $204.17 / $239.88 / $281.84	Professional		$204.17	$239.88	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	54	$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $309.03	Professional		$134.90	$181.97	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $363.08	Professional		$208.93	$288.40	$363.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $295.12	Professional		$125.89	$199.53	$295.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $933.25	Facility		$331.13	$478.63	$933.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $234.42	Professional		$114.82	$173.78	$234.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,584.89 / $7,244.36	Facility		$239.88	$1,584.89	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $426.58	Professional		$138.04	$208.93	$426.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $338.84	Facility		$162.18	$162.18	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $363.08	Professional		$165.96	$251.19	$363.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $141.25 / $162.18	Facility		$53.70	$141.25	$162.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $141.25 / $173.78	Professional		$53.70	$141.25	$173.78
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 $128.82 / $169.82 / $288.40	Professional		$128.82	$169.82	$288.40