Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,698.24 / $5,495.41	Facility		$199.53	$1,698.24	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $630.96	Professional		$134.90	$199.53	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $169.82	Professional		$128.82	$151.36	$169.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $57,543.99	Facility		$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $323.59	Professional		$208.93	$275.42	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $309.03	Professional		$141.25	$194.98	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $281.84	Professional		$269.15	$269.15	$281.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $354.81	Professional		$165.96	$229.09	$354.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,737.80 / $2,754.23	Facility		$977.24	$1,737.80	$2,754.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $275.42	Professional		$190.55	$218.78	$275.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,659.59 / $5,370.32	Facility		$223.87	$1,659.59	$5,370.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $478.63	Professional		$144.54	$218.78	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $380.19	Professional		$213.80	$213.80	$380.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $162.18 / $186.21	Facility		$14.13	$162.18	$186.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $162.18 / $213.80	Professional		$74.13	$162.18	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,513.56 / $3,890.45	Facility		$501.19	$1,513.56	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $309.03	Professional		$141.25	$186.21	$309.03