Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,995.26 / $7,762.47	Facility		$165.96	$1,995.26	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $501.19	Professional		$109.65	$208.93	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $331.13	Professional		$173.78	$288.40	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $323.59 / $588.84	Facility		$190.55	$323.59	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $371.54	Professional		$112.20	$194.98	$371.54
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 $251.19 / $338.84 / $478.63	Professional		$251.19	$338.84	$478.63
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $371.54	Professional		$109.65	$223.87	$371.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,691.53 / $6,025.60	Facility		$794.33	$2,691.53	$6,025.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $239.88	Professional		$117.49	$208.93	$239.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,584.89 / $7,244.36	Facility		$190.55	$1,584.89	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $223.87 / $501.19	Professional		$114.82	$223.87	$501.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $208.93 / $457.09	Facility		$199.53	$208.93	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $489.78	Professional		$208.93	$363.08	$489.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $208.93 / $309.03	Facility		$109.65	$208.93	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $204.17 / $309.03	Professional		$70.79	$204.17	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,905.46 / $4,265.80	Facility		$549.54	$1,905.46	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $281.84	Professional		$100.00	$169.82	$281.84