Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $5,370.32 / $8,511.38	Facility		$457.09	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $295.12	Professional		$70.79	$95.50	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $112.20	Professional		$89.13	$89.13	$112.20
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 $112.20 / $131.83 / $154.88	Professional		$112.20	$131.83	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $173.78	Professional		$74.13	$104.71	$173.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $162.18	Professional		$114.82	$147.91	$162.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $165.96	Professional		$77.62	$114.82	$165.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $537.03 / $1,380.38	Facility		$363.08	$537.03	$1,380.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,801.89 / $8,317.64	Facility		$537.03	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $245.47	Professional		$74.13	$112.20	$245.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $177.83	Facility		$100.00	$100.00	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $199.53	Professional		$97.72	$162.18	$199.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $112.20	Facility		$72.44	$87.10	$112.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $112.20	Professional		$53.70	$81.28	$112.20
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 $67.61 / $93.33 / $158.49	Professional		$67.61	$93.33	$158.49