Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,570.40 / $8,317.64	Facility		$223.87	$2,570.40	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $501.19	Professional		$125.89	$199.53	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $213.80	Professional		$128.82	$138.04	$213.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $57,543.99	Facility		$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $380.19	Professional		$218.78	$257.04	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $363.08	Professional		$138.04	$208.93	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $446.68	Professional		$269.15	$346.74	$446.68
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $380.19	Professional		$117.49	$234.42	$380.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,023.29 / $1,513.56	Facility		$338.84	$1,023.29	$1,513.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $251.19	Professional		$154.88	$177.83	$251.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,187.76 / $8,317.64	Facility		$263.03	$2,187.76	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $524.81	Professional		$131.83	$234.42	$524.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $467.74	Facility		$169.82	$169.82	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $380.19 / $467.74	Professional		$162.18	$380.19	$467.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $158.49 / $407.38	Facility		$83.18	$158.49	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $407.38	Professional		$144.54	$223.87	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $812.83 / $3,890.45	Facility		$223.87	$812.83	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $338.84	Professional		$134.90	$194.98	$338.84