Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $213.80 / $501.19	Facility		$70.79	$213.80	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $380.19	Professional		$47.86	$61.66	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $398.11 / $5,011.87	Facility		$302.00	$398.11	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $138.04	Professional		$57.54	$57.54	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $251.19	Facility		$70.79	$120.23	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $77.62 / $125.89	Professional		$35.48	$77.62	$125.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $138.04	Professional		$51.29	$95.50	$138.04
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $186.21	Professional		$74.13	$112.20	$186.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $181.97 / $549.54	Facility		$97.72	$181.97	$549.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $213.80 / $575.44	Facility		$70.79	$213.80	$575.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $72.44 / $302.00	Professional		$47.86	$72.44	$302.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $575.44 / $794.33	Facility		$549.54	$575.44	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $93.33	Facility		$18.62	$18.62	$93.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $18.62 / $74.13	Professional		$6.03	$18.62	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $87.10	Facility		$74.13	$74.13	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $97.72	Professional		$30.90	$43.65	$97.72