Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $562.34 / $2,238.72	Facility		$162.18	$562.34	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $602.56	Professional		$144.54	$204.17	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $251.19 / $354.81	Professional		$229.09	$251.19	$354.81
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 $218.78 / $229.09 / $229.09	Professional		$218.78	$229.09	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $602.56 / $1,096.48	Facility		$245.47	$602.56	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $389.05	Professional		$147.91	$208.93	$389.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $537.03	Professional		$398.11	$426.58	$537.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $288.40 / $512.86	Professional		$61.66	$288.40	$512.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $891.25 / $1,698.24	Facility		$316.23	$891.25	$1,698.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $234.42 / $389.05	Professional		$229.09	$234.42	$389.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $489.78 / $1,513.56	Facility		$162.18	$489.78	$1,513.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $602.56	Professional		$147.91	$245.47	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $478.63 / $575.44	Professional		$147.91	$478.63	$575.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $234.42	Facility		$51.29	$51.29	$234.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $239.88	Professional		$51.29	$51.29	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,122.02 / $1,380.38	Facility		$524.81	$1,122.02	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $213.80 / $363.08	Professional		$95.50	$213.80	$363.08