Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $3,801.89 / $8,317.64	Facility		$380.19	$3,801.89	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $398.11	Professional		$114.82	$199.53	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
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 $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $371.54	Professional		$123.03	$204.17	$371.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $363.08	Professional		$257.04	$323.59	$363.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $346.74	Professional		$120.23	$223.87	$346.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,318.26 / $2,398.83	Facility		$398.11	$1,318.26	$2,398.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,584.89 / $8,317.64	Facility		$380.19	$1,584.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $512.86	Professional		$123.03	$218.78	$512.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $436.52	Facility		$125.89	$125.89	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $371.54 / $478.63	Professional		$128.82	$371.54	$478.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $141.25 / $218.78	Facility		$72.44	$141.25	$218.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $218.78	Professional		$72.44	$114.82	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,584.89 / $3,890.45	Facility		$467.74	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $323.59	Professional		$112.20	$186.21	$323.59