Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,778.28 / $7,244.36	Facility		$177.83	$1,778.28	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $457.09	Professional		$79.43	$190.55	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $114.82	Professional		$64.57	$72.44	$114.82
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 $194.98 / $194.98 / $331.13	Professional		$194.98	$194.98	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	53	$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $363.08	Professional		$87.10	$173.78	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $363.08	Professional		$213.80	$251.19	$363.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $239.88 / $389.05	Professional		$102.33	$239.88	$389.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $1,000.00	Facility		$323.59	$323.59	$1,000.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $151.36	Professional		$85.11	$100.00	$151.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,584.89 / $6,606.93	Facility		$199.53	$1,584.89	$6,606.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $478.63	Professional		$83.18	$199.53	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $269.15 / $416.87	Professional		$234.42	$269.15	$416.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $186.21 / $478.63	Facility		$81.28	$186.21	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $190.55 / $371.54	Professional		$83.18	$190.55	$371.54
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 $89.13 / $186.21 / $316.23	Professional		$89.13	$186.21	$316.23