Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,818.38 / $8,317.64	Facility		$173.78	$2,818.38	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $309.03	Professional		$64.57	$128.82	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
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 $123.03 / $177.83 / $275.42	Professional		$123.03	$177.83	$275.42
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 $72.44 / $131.83 / $251.19	Professional		$72.44	$131.83	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $302.00	Professional		$177.83	$239.88	$302.00
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $239.88	Professional		$83.18	$165.96	$239.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $338.84	Facility		$309.03	$309.03	$338.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $2,398.83 / $7,762.47	Facility		$204.17	$2,398.83	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $144.54 / $346.74	Professional		$67.61	$144.54	$346.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $295.12	Facility		$177.83	$177.83	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $295.12	Professional		$169.82	$223.87	$295.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $93.33 / $162.18	Facility		$63.10	$93.33	$162.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $186.21	Professional		$51.29	$93.33	$186.21
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 $67.61 / $128.82 / $229.09	Professional		$67.61	$128.82	$229.09