Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,691.53 / $8,317.64	Facility		$724.44	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $302.00	Professional		$91.20	$151.36	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $295.12	Professional		$154.88	$204.17	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $295.12	Professional		$107.15	$169.82	$295.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $338.84	Professional		$194.98	$269.15	$338.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $275.42	Professional		$154.88	$199.53	$275.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $891.25	Facility		$707.95	$707.95	$891.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,344.23 / $8,317.64	Facility		$616.60	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $489.78	Professional		$97.72	$181.97	$489.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $346.74	Facility		$194.98	$194.98	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $190.55 / $338.84	Professional		$186.21	$190.55	$338.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $181.97 / $741.31	Facility		$97.72	$181.97	$741.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $162.18 / $407.38	Professional		$70.79	$162.18	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,584.89 / $3,890.45	Facility		$501.19	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $269.15	Professional		$95.50	$162.18	$269.15