Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,344.23 / $8,128.31	Facility		$245.47	$2,344.23	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $537.03	Professional		$109.65	$169.82	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $257.04	Professional		$190.55	$204.17	$257.04
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 $173.78 / $257.04 / $354.81	Professional		$173.78	$257.04	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $309.03	Professional		$125.89	$186.21	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $316.23	Professional		$218.78	$281.84	$316.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $316.23	Professional		$138.04	$213.80	$316.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $5,011.87	Facility		$1,174.90	$1,862.09	$5,011.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,905.46 / $7,762.47	Facility		$426.58	$1,905.46	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $467.74	Professional		$120.23	$199.53	$467.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $371.54	Facility		$234.42	$234.42	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $354.81	Professional		$199.53	$281.84	$354.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $173.78 / $407.38	Facility		$112.20	$173.78	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $309.03	Professional		$112.20	$123.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,949.84 / $3,890.45	Facility		$501.19	$1,949.84	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $281.84	Professional		$123.03	$173.78	$281.84