Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,691.53 / $7,762.47	Facility		$794.33	$2,691.53	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $309.03	Professional		$87.10	$147.91	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $158.49 / $218.78	Professional		$44.67	$158.49	$218.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $309.03	Professional		$173.78	$181.97	$309.03
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 / $154.88 / $275.42	Professional		$85.11	$154.88	$275.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $309.03	Professional		$223.87	$223.87	$309.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $338.84	Professional		$97.72	$186.21	$338.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $933.25 / $1,819.70	Facility		$0.50	$933.25	$1,819.70
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	50	$1,698.24	$1,698.24	$1,698.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $1,621.81	Professional		$83.18	$134.90	$1,621.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,344.23 / $7,244.36	Facility		$537.03	$2,344.23	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $416.87	Professional		$91.20	$173.78	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $371.54 / $371.54	Professional		$346.74	$371.54	$371.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $158.49 / $457.09	Facility		$38.90	$158.49	$457.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $158.49 / $549.54	Professional		$72.44	$158.49	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,570.40 / $4,265.80	Facility		$912.01	$2,570.40	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $275.42	Professional		$85.11	$154.88	$275.42