Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,691.53 / $8,317.64	Facility		$478.63	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $204.17 / $478.63	Professional		$70.79	$204.17	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
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 $102.33 / $112.20 / $112.20	Professional		$102.33	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $707.95 / $1,380.38	Facility		$123.03	$707.95	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $380.19	Professional		$79.43	$213.80	$380.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $489.78	Professional		$263.03	$338.84	$489.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $398.11	Professional		$112.20	$239.88	$398.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $870.96 / $3,630.78	Facility		$0.50	$870.96	$3,630.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $144.54	Professional		$77.62	$87.10	$144.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,089.30 / $7,244.36	Facility		$537.03	$2,089.30	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $223.87 / $588.84	Professional		$77.62	$223.87	$588.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $257.04 / $467.74	Facility		$251.19	$257.04	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $588.84	Professional		$257.04	$436.52	$588.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $309.03 / $407.38	Facility		$75.86	$309.03	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $213.80 / $309.03	Professional		$70.79	$213.80	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,778.28 / $3,890.45	Facility		$549.54	$1,778.28	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $165.96 / $316.23	Professional		$69.18	$165.96	$316.23