Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $346.74 / $870.96	Facility		$72.44	$346.74	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $100.00 / $323.59	Professional		$43.65	$100.00	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $64.57 / $85.11	Professional		$33.88	$64.57	$85.11
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 $83.18 / $104.71 / $158.49	Professional		$83.18	$104.71	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $83.18 / $154.88	Professional		$44.67	$83.18	$154.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $199.53	Professional		$117.49	$158.49	$199.53
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $162.18	Professional		$72.44	$112.20	$162.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $398.11 / $645.65	Facility		$251.19	$398.11	$645.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $93.33 / $109.65	Professional		$87.10	$93.33	$109.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $346.74 / $870.96	Facility		$72.44	$346.74	$870.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $93.33 / $229.09	Professional		$46.77	$93.33	$229.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $165.96	Facility		$134.90	$134.90	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $199.53	Professional		$93.33	$134.90	$199.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $74.13 / $81.28	Facility		$6.92	$74.13	$81.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $54.95 / $81.28	Professional		$23.44	$54.95	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $537.03 / $3,890.45	Facility		$194.98	$537.03	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $131.83	Professional		$42.66	$77.62	$131.83