Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,584.89 / $7,244.36	Facility		$229.09	$1,584.89	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $588.84	Professional		$107.15	$204.17	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $346.74	Professional		$169.82	$251.19	$346.74
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 $208.93 / $208.93 / $281.84	Professional		$208.93	$208.93	$281.84
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 $107.15 / $190.55 / $363.08	Professional		$107.15	$190.55	$363.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $467.74	Professional		$239.88	$331.13	$467.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $223.87 / $363.08	Professional		$102.33	$223.87	$363.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $575.44 / $1,258.93	Facility		$288.40	$575.44	$1,258.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $239.88 / $275.42	Professional		$93.33	$239.88	$275.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,348.96 / $6,606.93	Facility		$239.88	$1,348.96	$6,606.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $489.78	Professional		$112.20	$218.78	$489.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $229.09 / $446.68	Facility		$204.17	$229.09	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $478.63	Professional		$229.09	$346.74	$478.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $109.65 / $218.78	Facility		$70.79	$109.65	$218.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $407.38	Professional		$70.79	$109.65	$407.38
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 $97.72 / $165.96 / $281.84	Professional		$97.72	$165.96	$281.84