Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,073.80 / $8,511.38	Facility		$831.76	$4,073.80	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $724.44	Professional		$144.54	$181.97	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $154.88	Professional		$131.83	$147.91	$154.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $269.15	Professional		$138.04	$162.18	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $363.08	Professional		$151.36	$208.93	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $229.09	Professional		$162.18	$208.93	$229.09
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $295.12	Professional		$147.91	$194.98	$295.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,011.87 / $7,762.47	Facility		$1,258.93	$5,011.87	$7,762.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,235.94 / $8,317.64	Facility		$831.76	$3,235.94	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $588.84	Professional		$147.91	$204.17	$588.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $316.23	Facility		$251.19	$251.19	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $338.84	Professional		$204.17	$245.47	$338.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $208.93 / $416.87	Facility		$26.30	$208.93	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $162.18 / $575.44	Professional		$53.70	$162.18	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,691.53 / $6,025.60	Facility		$912.01	$2,691.53	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $309.03	Professional		$131.83	$169.82	$309.03