Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $218.78 / $316.23	Facility		$81.28	$218.78	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $199.53	Professional		$60.26	$72.44	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Professional		$52.48	$52.48	$63.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $128.82	Professional		$70.79	$74.13	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $269.15	Facility		$83.18	$83.18	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $138.04	Professional		$57.54	$87.10	$138.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $114.82	Professional		$91.20	$93.33	$114.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $147.91	Professional		$61.66	$89.13	$147.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $128.82	Professional		$72.44	$81.28	$128.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $204.17 / $316.23	Facility		$87.10	$204.17	$316.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $204.17	Professional		$61.66	$83.18	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $141.25	Professional		$100.00	$123.03	$141.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $57.54 / $87.10	Facility		$50.12	$57.54	$87.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $87.10	Professional		$50.12	$69.18	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $131.83	Professional		$64.57	$79.43	$131.83