Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,096.48 / $6,606.93	Facility		$117.49	$1,096.48	$6,606.93
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	52	$1,621.81	$1,621.81	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $154.88 / $489.78	Professional		$42.66	$154.88	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $87.10 / $346.74	Professional		$39.81	$87.10	$346.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $354.81	Professional		$89.13	$104.71	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	52	$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $141.25 / $331.13	Professional		$44.67	$141.25	$331.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $416.87	Professional		$251.19	$288.40	$416.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $229.09 / $426.58	Professional		$52.48	$229.09	$426.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,000.00 / $2,290.87	Facility		$354.81	$1,000.00	$2,290.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $51.29 / $177.83	Professional		$45.71	$51.29	$177.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,122.02 / $6,165.95	Facility		$138.04	$1,122.02	$6,165.95
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility	52	$1,621.81	$1,621.81	$1,621.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $162.18 / $501.19	Professional		$45.71	$162.18	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $588.84	Professional		$316.23	$436.52	$588.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $269.15 / $309.03	Facility		$42.66	$269.15	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $204.17 / $309.03	Professional		$42.66	$204.17	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $676.08 / $4,265.80	Facility		$144.54	$676.08	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $154.88 / $316.23	Professional		$43.65	$154.88	$316.23