Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,288.25 / $7,244.36	Facility		$251.19	$1,288.25	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $257.04 / $616.60	Professional		$100.00	$257.04	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
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 $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $234.42 / $524.81	Professional		$109.65	$234.42	$524.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $676.08	Professional		$478.63	$616.60	$676.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $389.05 / $645.65	Professional		$117.49	$389.05	$645.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $346.74 / $1,318.26	Facility		$234.42	$346.74	$1,318.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,122.02 / $6,606.93	Facility		$263.03	$1,122.02	$6,606.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $275.42 / $794.33	Professional		$107.15	$275.42	$794.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $758.58	Facility		$257.04	$257.04	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $512.86 / $758.58	Professional		$263.03	$512.86	$758.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $302.00 / $338.84	Facility		$104.71	$302.00	$338.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $309.03 / $398.11	Professional		$104.71	$309.03	$398.11
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 $97.72 / $213.80 / $478.63	Professional		$97.72	$213.80	$478.63