Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,691.53 / $8,317.64	Facility		$426.58	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $177.83	Professional		$56.23	$75.86	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $100.00	Professional		$67.61	$74.13	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $117.49 / $588.84	Facility		$66.07	$117.49	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $186.21	Professional		$56.23	$87.10	$186.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $158.49	Professional		$81.28	$109.65	$158.49
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $128.82	Professional		$63.10	$81.28	$128.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $5,011.87	Facility		$2,884.03	$3,388.44	$5,011.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,290.87 / $7,762.47	Facility		$537.03	$2,290.87	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $257.04	Professional		$58.88	$95.50	$257.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $77.62 / $154.88	Facility		$75.86	$77.62	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $194.98	Professional		$77.62	$147.91	$194.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $50.12 / $69.18	Facility		$39.81	$50.12	$69.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $74.13	Professional		$39.81	$56.23	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,137.96 / $5,128.61	Facility		$524.81	$2,137.96	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $125.89	Professional		$50.12	$74.13	$125.89