Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $457.09 / $831.76	Facility		$100.00	$457.09	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $245.47	Professional		$95.50	$128.82	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $95.50	Professional		$89.13	$89.13	$95.50
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 $128.82 / $138.04 / $234.42	Professional		$128.82	$138.04	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $245.47	Professional		$100.00	$144.54	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $269.15	Professional		$158.49	$213.80	$269.15
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $275.42	Professional		$109.65	$158.49	$275.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $741.31 / $933.25	Facility		$416.87	$741.31	$933.25
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	50	$870.96	$870.96	$870.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $186.21	Professional		$100.00	$128.82	$186.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $457.09 / $831.76	Facility		$114.82	$457.09	$831.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $302.00	Professional		$97.72	$147.91	$302.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $295.12	Facility		$263.03	$263.03	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $295.12	Professional		$177.83	$199.53	$295.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.23 / $162.18	Facility		$95.50	$120.23	$162.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $95.50 / $467.74	Professional		$37.15	$95.50	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $758.58 / $3,890.45	Facility		$223.87	$758.58	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $223.87	Professional		$97.72	$138.04	$223.87