Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,584.89 / $8,511.38	Facility		$95.50	$1,584.89	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $208.93	Professional		$38.02	$66.07	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $41.69 / $70.79	Professional		$20.89	$41.69	$70.79
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 $43.65 / $85.11 / $123.03	Professional		$43.65	$85.11	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $95.50	Professional		$46.77	$63.10	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $66.07	Professional		$63.10	$63.10	$66.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $109.65	Professional		$51.29	$64.57	$109.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,513.56 / $8,317.64	Facility		$95.50	$1,513.56	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $190.55	Professional		$43.65	$69.18	$190.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,370.32 / $10,232.93	Facility		$5,128.61	$5,370.32	$10,232.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $107.15	Professional		$69.18	$72.44	$107.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $53.70 / $69.18	Facility		$43.65	$53.70	$69.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $53.70 / $77.62	Professional		$30.90	$53.70	$77.62
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 $41.69 / $58.88 / $91.20	Professional		$41.69	$58.88	$91.20