Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $380.19 / $933.25	Facility		$47.86	$380.19	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $125.89	Professional		$28.18	$51.29	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $77.62	Professional		$30.20	$39.81	$77.62
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 $42.66 / $53.70 / $75.86	Professional		$42.66	$53.70	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $77.62	Professional		$28.84	$43.65	$77.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $95.50	Professional		$54.95	$74.13	$95.50
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $79.43	Professional		$37.15	$54.95	$79.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $204.17 / $371.54	Facility		$102.33	$204.17	$371.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $57.54	Professional		$39.81	$43.65	$57.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $194.98 / $1,023.29	Facility		$38.02	$194.98	$1,023.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $51.29 / $104.71	Professional		$28.84	$51.29	$104.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $83.18	Facility		$51.29	$51.29	$83.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $63.10 / $91.20	Professional		$57.54	$63.10	$91.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $29.51 / $40.74	Facility		$28.18	$29.51	$40.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $29.51 / $70.79	Professional		$15.85	$29.51	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $524.81 / $3,890.45	Facility		$162.18	$524.81	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $69.18	Professional		$27.54	$40.74	$69.18