Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,691.53 / $8,317.64	Facility		$724.44	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $251.19	Professional		$85.11	$125.89	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $120.23	Professional		$117.49	$117.49	$120.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $213.80	Professional		$117.49	$123.03	$213.80
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $181.97 / $323.59	Professional	50	$177.83	$181.97	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $213.80	Professional		$85.11	$125.89	$213.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $204.17	Professional		$147.91	$147.91	$204.17
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $239.88	Professional		$120.23	$151.36	$239.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,370.32 / $9,549.93	Facility		$1,778.28	$5,370.32	$9,549.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $169.82	Professional		$107.15	$144.54	$169.82
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	50	$223.87	$223.87	$223.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,290.87 / $8,317.64	Facility		$588.84	$2,290.87	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $295.12	Professional		$89.13	$131.83	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $229.09	Professional		$186.21	$186.21	$229.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $158.49 / $467.74	Facility		$85.11	$158.49	$467.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $309.03	Professional		$85.11	$138.04	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,548.82 / $7,079.46	Facility		$223.87	$1,548.82	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $204.17	Professional		$87.10	$123.03	$204.17