Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,398.83 / $8,317.64	Facility		$426.58	$2,398.83	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $120.23 / $371.54	Professional		$57.54	$120.23	$371.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $630.96 / $630.96	Professional	50	$141.25	$630.96	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $131.83	Professional		$52.48	$70.79	$131.83
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 $131.83 / $134.90 / $223.87	Professional		$131.83	$134.90	$223.87
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $223.87 / $338.84	Professional	50	$194.98	$223.87	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $120.23 / $234.42	Professional		$66.07	$120.23	$234.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $295.12	Professional		$169.82	$234.42	$295.12
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $257.04	Professional		$104.71	$177.83	$257.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $63.10 / $64.57	Professional		$61.66	$63.10	$64.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,778.28 / $7,244.36	Facility		$204.17	$1,778.28	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $363.08	Professional		$60.26	$131.83	$363.08
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $144.54 / $630.96	Professional	50	$141.25	$144.54	$630.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $288.40	Facility		$275.42	$275.42	$288.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $302.00	Professional		$213.80	$263.03	$302.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $128.82 / $263.03	Facility		$53.70	$128.82	$263.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $128.82 / $239.88	Professional		$29.51	$128.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $645.65 / $4,265.80	Facility		$144.54	$645.65	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $208.93	Professional		$61.66	$117.49	$208.93