Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,819.70 / $7,244.36	Facility		$107.15	$1,819.70	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $263.03	Professional		$50.12	$100.00	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $199.53	Professional		$58.88	$91.20	$199.53
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 $77.62 / $95.50 / $165.96	Professional		$77.62	$95.50	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $186.21	Professional		$56.23	$100.00	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $173.78	Professional		$123.03	$158.49	$173.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $208.93	Professional		$70.79	$131.83	$208.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $588.84 / $1,412.54	Facility		$181.97	$588.84	$1,412.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,584.89 / $7,244.36	Facility		$194.98	$1,584.89	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $269.15	Professional		$53.70	$112.20	$269.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $204.17	Facility		$123.03	$123.03	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $213.80	Professional		$134.90	$162.18	$213.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $52.48 / $114.82	Facility		$32.36	$52.48	$114.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $114.82	Professional		$32.36	$52.48	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $676.08 / $3,890.45	Facility		$223.87	$676.08	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $165.96	Professional		$52.48	$93.33	$165.96