Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,890.45 / $8,317.64	Facility		$954.99	$3,890.45	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $74.13	Professional		$22.91	$31.62	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
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 $31.62 / $33.11 / $57.54	Professional		$31.62	$33.11	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $66.07	Professional		$23.99	$38.02	$66.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $67.61	Professional		$39.81	$53.70	$67.61
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $70.79	Professional		$32.36	$44.67	$70.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,454.71	Facility		$1,318.26	$1,737.80	$2,454.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,691.53 / $8,317.64	Facility		$954.99	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $93.33	Professional		$23.99	$39.81	$93.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $93.33	Facility		$64.57	$64.57	$93.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $89.13	Professional		$58.88	$67.61	$89.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.90 / $416.87	Facility		$23.99	$30.90	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $416.87	Professional		$19.95	$33.11	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $831.76 / $3,890.45	Facility		$223.87	$831.76	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $57.54	Professional		$22.91	$35.48	$57.54