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 $91.20 / $141.25 / $239.88	Professional		$91.20	$141.25	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $154.88	Professional		$147.91	$147.91	$154.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $257.04	Professional		$134.90	$218.78	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $251.19	Professional		$97.72	$154.88	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $245.47	Professional		$229.09	$229.09	$245.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $263.03	Professional		$109.65	$190.55	$263.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $151.36 / $154.88	Professional		$147.91	$151.36	$154.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,344.23 / $8,317.64	Facility		$616.60	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $371.54	Professional		$95.50	$154.88	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $100.00 / $154.88	Facility		$79.43	$100.00	$154.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $141.25 / $309.03	Professional		$81.28	$141.25	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $676.08 / $4,265.80	Facility		$144.54	$676.08	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $251.19	Professional		$93.33	$151.36	$251.19