Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,691.53 / $8,317.64	Facility		$660.69	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $489.78	Professional		$151.36	$204.17	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
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 $199.53 / $204.17 / $363.08	Professional		$199.53	$204.17	$363.08
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 $141.25 / $199.53 / $354.81	Professional		$141.25	$199.53	$354.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $346.74	Professional		$251.19	$251.19	$346.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $354.81	Professional		$162.18	$213.80	$354.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,348.96 / $4,073.80	Facility		$323.59	$1,348.96	$4,073.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $245.47 / $851.14	Professional		$229.09	$245.47	$851.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,290.87 / $7,762.47	Facility		$537.03	$2,290.87	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $524.81	Professional		$154.88	$223.87	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $398.11	Professional		$323.59	$323.59	$398.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $309.03 / $380.19	Facility		$158.49	$309.03	$380.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $380.19	Professional		$158.49	$208.93	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $891.25 / $3,890.45	Facility		$223.87	$891.25	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $346.74	Professional		$141.25	$199.53	$346.74