Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $316.23 / $588.84	Facility		$120.23	$316.23	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $316.23	Professional		$93.33	$120.23	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $165.96	Professional		$60.26	$70.79	$165.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $5,011.87	Facility		$512.86	$691.83	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $218.78	Professional		$112.20	$112.20	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $234.42 / $489.78	Facility		$138.04	$234.42	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $257.04	Professional		$67.61	$125.89	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $269.15	Professional		$100.00	$186.21	$269.15
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $269.15	Professional		$107.15	$162.18	$269.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $346.74 / $575.44	Facility		$165.96	$346.74	$575.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $234.42	Professional		$162.18	$199.53	$234.42
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $676.08	Facility		$524.81	$524.81	$676.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $316.23 / $588.84	Facility		$120.23	$316.23	$588.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $380.19	Professional		$95.50	$141.25	$380.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $436.52 / $616.60	Facility		$426.58	$436.52	$616.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $107.15 / $158.49	Facility		$41.69	$107.15	$158.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $107.15 / $190.55	Professional		$41.69	$107.15	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $169.82	Facility		$141.25	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $190.55	Professional		$60.26	$85.11	$190.55