Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $338.84 / $354.81	Facility		$16.98	$338.84	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.18 / $72.44	Professional		$15.85	$28.18	$72.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $85.11 / $229.09	Professional	50	$47.86	$85.11	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
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 $28.18 / $28.84 / $47.86	Professional		$28.18	$28.84	$47.86
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $41.69 / $45.71 / $72.44	Professional	50	$41.69	$45.71	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.36 / $54.95	Professional		$16.98	$32.36	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $57.54	Professional		$33.11	$45.71	$57.54
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $66.07	Professional		$26.92	$37.15	$66.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $380.19 / $426.58	Facility		$147.91	$380.19	$426.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.18 / $32.36	Professional		$26.30	$28.18	$32.36
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.81 / $42.66 / $42.66	Professional	50	$39.81	$42.66	$42.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $34.67 / $354.81	Facility		$16.98	$34.67	$354.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.20 / $69.18	Professional		$16.98	$30.20	$69.18
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $79.43 / $117.49	Professional	50	$47.86	$79.43	$117.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $56.23	Facility		$47.86	$47.86	$56.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $75.86	Professional		$45.71	$47.86	$75.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $40.74 / $309.03	Facility		$17.38	$40.74	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.84 / $72.44	Professional		$15.14	$28.84	$72.44
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 $18.20 / $30.90 / $52.48	Professional		$18.20	$30.90	$52.48