Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,584.89 / $8,317.64	Facility		$141.25	$1,584.89	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $128.82 / $275.42	Professional		$42.66	$128.82	$275.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $194.98 / $194.98	Professional	50	$194.98	$194.98	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $120.23	Professional		$107.15	$109.65	$120.23
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 $97.72 / $158.49 / $239.88	Professional		$97.72	$158.49	$239.88
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $239.88 / $363.08	Professional	50	$147.91	$239.88	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $123.03 / $223.87	Professional		$47.86	$123.03	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $208.93	Professional		$199.53	$199.53	$208.93
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $281.84	Professional		$83.18	$165.96	$281.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $794.33 / $977.24	Facility		$263.03	$794.33	$977.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $93.33 / $158.49	Professional		$44.67	$93.33	$158.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,348.96 / $7,244.36	Facility		$165.96	$1,348.96	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $128.82 / $309.03	Professional		$43.65	$128.82	$309.03
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $194.98 / $194.98	Professional	50	$194.98	$194.98	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $154.88 / $316.23	Professional		$30.20	$154.88	$316.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $44.67 / $147.91	Facility		$38.02	$44.67	$147.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $117.49	Professional		$31.62	$44.67	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,071.52 / $3,890.45	Facility		$223.87	$1,071.52	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $100.00 / $199.53	Professional		$39.81	$100.00	$199.53