Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $194.98 / $316.23	Facility		$57.54	$194.98	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $288.40	Professional		$52.48	$61.66	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $87.10	Professional		$28.84	$33.88	$87.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $302.00 / $5,011.87	Facility		$229.09	$302.00	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $104.71 / $229.09	Facility		$46.77	$104.71	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $75.86 / $117.49	Professional		$41.69	$75.86	$117.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $67.61 / $97.72	Professional		$31.62	$67.61	$97.72
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $117.49	Professional		$45.71	$57.54	$117.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $218.78 / $309.03	Facility		$93.33	$218.78	$309.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $41.69 / $50.12	Professional		$40.74	$41.69	$50.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $181.97 / $302.00	Facility		$57.54	$181.97	$302.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $275.42	Professional		$51.29	$70.79	$275.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $144.54 / $204.17	Facility		$141.25	$144.54	$204.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $61.66 / $67.61	Facility		$22.39	$61.66	$67.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $61.66 / $67.61	Professional		$22.39	$61.66	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $67.61 / $81.28	Facility		$44.67	$67.61	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $100.00	Professional		$28.18	$42.66	$100.00