Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $912.01 / $5,370.32	Facility		$72.44	$912.01	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	50	$2,454.71	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $72.44 / $173.78	Professional		$30.20	$72.44	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.11 / $46.77	Professional		$16.60	$33.11	$46.77
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 $70.79 / $83.18 / $125.89	Professional		$70.79	$83.18	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $144.54	Professional		$32.36	$56.23	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $165.96	Professional		$97.72	$114.82	$165.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $83.18 / $169.82	Professional		$38.02	$83.18	$169.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $977.24 / $1,862.09	Facility		$117.49	$977.24	$1,862.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $46.77	Professional		$33.88	$37.15	$46.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $954.99 / $5,128.61	Facility		$83.18	$954.99	$5,128.61
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	50	$2,454.71	$2,454.71	$2,454.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $72.44 / $177.83	Professional		$33.11	$72.44	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $63.10 / $162.18	Professional		$33.11	$63.10	$162.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $39.81 / $257.04	Facility		$14.79	$39.81	$257.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $39.81 / $257.04	Professional		$16.22	$39.81	$257.04
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 $30.20 / $54.95 / $117.49	Professional		$30.20	$54.95	$117.49