Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,691.53 / $8,317.64	Facility		$724.44	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $109.65	Professional		$30.90	$39.81	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
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 $53.70 / $81.28 / $81.28	Professional		$53.70	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $109.65	Professional		$33.88	$46.77	$109.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $51.29	Professional		$36.31	$46.77	$51.29
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $72.44	Professional		$33.11	$44.67	$72.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $616.60 / $1,023.29	Facility		$562.34	$616.60	$1,023.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,290.87 / $7,762.47	Facility		$588.84	$2,290.87	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $154.88	Professional		$32.36	$47.86	$154.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $91.20	Facility		$69.18	$69.18	$91.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $107.15	Professional		$44.67	$67.61	$107.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $52.48 / $134.90	Facility		$50.12	$52.48	$134.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $134.90	Professional		$33.11	$50.12	$134.90
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 $30.20 / $39.81 / $75.86	Professional		$30.20	$39.81	$75.86