Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,570.40 / $8,317.64	Facility		$380.19	$2,570.40	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $302.00 / $575.44	Professional		$81.28	$302.00	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
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 $275.42 / $323.59 / $549.54	Professional		$275.42	$323.59	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $346.74 / $575.44	Facility		$147.91	$346.74	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $218.78 / $537.03	Professional		$89.13	$218.78	$537.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $758.58	Professional		$398.11	$537.03	$758.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $371.54 / $602.56	Professional		$102.33	$371.54	$602.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $1,096.48	Facility		$275.42	$275.42	$1,096.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,089.30 / $7,762.47	Facility		$426.58	$2,089.30	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $323.59 / $794.33	Professional		$83.18	$323.59	$794.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $660.69 / $977.24	Professional		$3.98	$660.69	$977.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $93.33 / $354.81	Facility		$85.11	$93.33	$354.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $257.04 / $354.81	Professional		$85.11	$257.04	$354.81
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 $79.43 / $239.88 / $489.78	Professional		$79.43	$239.88	$489.78