Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,445.44 / $6,606.93	Facility		$229.09	$1,445.44	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $741.31	Professional		$131.83	$208.93	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $354.81	Professional		$104.71	$177.83	$354.81
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 $190.55 / $208.93 / $208.93	Professional		$190.55	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $323.59 / $588.84	Facility		$186.21	$323.59	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $363.08	Professional		$138.04	$204.17	$363.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $407.38	Professional		$213.80	$288.40	$407.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $331.13	Professional		$144.54	$204.17	$331.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $549.54 / $1,862.09	Facility		$363.08	$549.54	$1,862.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $141.25	Professional		$131.83	$131.83	$141.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,288.25 / $5,754.40	Facility		$281.84	$1,288.25	$5,754.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $524.81	Professional		$138.04	$234.42	$524.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $190.55 / $407.38	Facility		$173.78	$190.55	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $446.68	Professional		$190.55	$354.81	$446.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $489.78	Facility		$128.82	$186.21	$489.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $186.21 / $489.78	Professional		$58.88	$186.21	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $537.03 / $3,019.95	Facility		$85.11	$537.03	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $295.12	Professional		$120.23	$177.83	$295.12