Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,548.13 / $8,317.64	Facility		$426.58	$3,548.13	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $288.40	Professional		$52.48	$107.15	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $120.23	Professional		$43.65	$43.65	$120.23
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 $107.15 / $144.54 / $223.87	Professional		$107.15	$144.54	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $204.17	Professional		$60.26	$107.15	$204.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $204.17 / $257.04	Professional		$147.91	$204.17	$257.04
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $204.17	Professional		$69.18	$138.04	$204.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,023.29 / $2,754.23	Facility		$177.83	$1,023.29	$2,754.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,570.40 / $8,317.64	Facility		$588.84	$2,570.40	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $123.03 / $302.00	Professional		$54.95	$123.03	$302.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $234.42	Facility		$144.54	$144.54	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $1,122.02	Professional		$138.04	$177.83	$1,122.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $85.11 / $131.83	Facility		$53.70	$85.11	$131.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $112.20	Professional		$52.48	$85.11	$112.20
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 $54.95 / $104.71 / $186.21	Professional		$54.95	$104.71	$186.21