Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,691.53 / $7,762.47	Facility		$537.03	$2,691.53	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $288.40	Professional		$85.11	$102.33	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $100.00	Professional		$85.11	$85.11	$100.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $218.78	Professional		$93.33	$147.91	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $218.78	Professional		$93.33	$125.89	$218.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $147.91	Professional		$104.71	$134.90	$147.91
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $190.55	Professional		$93.33	$123.03	$190.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,466.84 / $9,772.37	Facility		$630.96	$4,466.84	$9,772.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,398.83 / $7,244.36	Facility		$537.03	$2,398.83	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $398.11	Professional		$87.10	$120.23	$398.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $194.98	Facility		$125.89	$125.89	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $218.78	Professional		$120.23	$158.49	$218.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $117.49 / $309.03	Facility		$93.33	$117.49	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $309.03	Professional		$52.48	$100.00	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,691.53 / $5,888.44	Facility		$912.01	$2,691.53	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $190.55	Professional		$81.28	$109.65	$190.55