Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,691.53 / $8,317.64	Facility		$660.69	$2,691.53	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	50	$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $331.13	Professional		$102.33	$173.78	$331.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $263.03 / $263.03	Professional	50	$72.44	$263.03	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,398.83 / $57,543.99	Facility		$2,344.23	$2,398.83	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $316.23	Professional		$158.49	$223.87	$316.23
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $331.13 / $478.63	Professional	50	$239.88	$331.13	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $338.84	Professional		$107.15	$181.97	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $323.59	Professional		$229.09	$295.12	$323.59
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $309.03	Professional		$104.71	$204.17	$309.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,344.23 / $8,317.64	Facility		$588.84	$2,344.23	$8,317.64
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	50	$691.83	$691.83	$691.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $478.63	Professional		$104.71	$190.55	$478.63
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $263.03 / $263.03	Professional	50	$72.44	$263.03	$263.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $389.05	Facility		$123.03	$123.03	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $338.84 / $398.11	Professional		$141.25	$338.84	$398.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $107.15 / $309.03	Facility		$74.13	$107.15	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $309.03	Professional		$74.13	$107.15	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $676.08 / $3,890.45	Facility		$223.87	$676.08	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $275.42	Professional		$93.33	$158.49	$275.42