Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $2,089.30 / $7,762.47	Facility		$125.89	$2,089.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $309.03	Professional		$57.54	$123.03	$309.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $208.93 / $208.93	Professional	50	$134.90	$208.93	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
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 $154.88 / $162.18 / $263.03	Professional		$154.88	$162.18	$263.03
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $281.84 / $398.11	Professional	50	$234.42	$281.84	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $257.04	Professional		$67.61	$125.89	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $380.19	Professional		$223.87	$309.03	$380.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $208.93 / $309.03	Professional		$100.00	$208.93	$309.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,230.27 / $3,090.30	Facility		$831.76	$1,230.27	$3,090.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,584.89 / $7,244.36	Facility		$125.89	$1,584.89	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $141.25 / $354.81	Professional		$61.66	$141.25	$354.81
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $134.90 / $208.93	Professional	50	$134.90	$134.90	$208.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $295.12	Facility		$151.36	$151.36	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $177.83 / $354.81	Professional		$165.96	$177.83	$354.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $257.04 / $575.44	Facility		$64.57	$257.04	$575.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $309.03	Professional		$60.26	$109.65	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,862.09 / $3,890.45	Facility		$501.19	$1,862.09	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $223.87	Professional		$61.66	$120.23	$223.87