Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $1,258.93 / $6,606.93	Facility		$75.86	$1,258.93	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $158.49 / $549.54	Professional		$34.67	$158.49	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $239.88	Professional		$29.51	$43.65	$239.88
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 $186.21 / $218.78 / $371.54	Professional		$186.21	$218.78	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $346.74 / $575.44	Facility		$64.57	$346.74	$575.44
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	52	$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $213.80 / $389.05	Professional		$39.81	$213.80	$389.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $562.34	Professional		$288.40	$398.11	$562.34
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $263.03 / $436.52	Professional		$46.77	$263.03	$436.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $645.65 / $1,202.26	Facility		$354.81	$645.65	$1,202.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $257.04	Professional		$35.48	$38.02	$257.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,230.27 / $6,165.95	Facility		$213.80	$1,230.27	$6,165.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $204.17 / $575.44	Professional		$37.15	$204.17	$575.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $275.42 / $501.19	Facility		$263.03	$275.42	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $575.44	Professional		$263.03	$416.87	$575.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $74.13 / $234.42	Facility		$36.31	$74.13	$234.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $74.13 / $234.42	Professional		$11.75	$74.13	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $562.34 / $3,019.95	Facility		$85.11	$562.34	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $154.88 / $331.13	Professional		$35.48	$154.88	$331.13