Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,454.71 / $7,244.36	Facility		$288.40	$2,454.71	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $467.74	Professional		$97.72	$162.18	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $158.49 / $229.09	Professional		$154.88	$158.49	$229.09
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 $151.36 / $204.17 / $263.03	Professional		$151.36	$204.17	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $269.15	Professional		$114.82	$165.96	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $338.84	Professional		$194.98	$263.03	$338.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $269.15	Professional		$102.33	$173.78	$269.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,905.46 / $3,235.94	Facility		$371.54	$1,905.46	$3,235.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $204.17	Professional		$120.23	$186.21	$204.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,995.26 / $7,244.36	Facility		$478.63	$1,995.26	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $426.58	Professional		$104.71	$181.97	$426.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $316.23	Facility		$158.49	$158.49	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $309.03	Professional		$151.36	$181.97	$309.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $151.36 / $309.03	Facility		$102.33	$151.36	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $151.36 / $309.03	Professional		$69.18	$151.36	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,584.89 / $3,890.45	Facility		$501.19	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $239.88	Professional		$102.33	$154.88	$239.88