Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $660.69 / $1,122.02	Facility		$223.87	$660.69	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $524.81	Professional		$165.96	$223.87	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $5,011.87	Facility		$1,047.13	$1,412.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $478.63	Professional		$204.17	$204.17	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $426.58 / $891.25	Facility		$257.04	$426.58	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $512.86	Professional		$125.89	$251.19	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $501.19	Professional		$186.21	$346.74	$501.19
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $660.69	Professional		$234.42	$338.84	$660.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $524.81 / $933.25	Facility		$245.47	$524.81	$933.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $416.87	Professional		$204.17	$204.17	$416.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $660.69 / $1,096.48	Facility		$213.80	$660.69	$1,096.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $724.44	Professional		$177.83	$245.47	$724.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $234.42 / $316.23	Facility		$199.53	$234.42	$316.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $316.23	Professional		$199.53	$234.42	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $316.23	Facility		$263.03	$263.03	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $346.74	Professional		$109.65	$158.49	$346.74