Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $181.97 / $416.87	Facility		$60.26	$181.97	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $436.52	Professional		$52.48	$83.18	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $114.82	Professional		$29.51	$35.48	$114.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $489.78 / $5,011.87	Facility		$371.54	$489.78	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $158.49	Professional		$54.95	$54.95	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $114.82 / $239.88	Facility		$64.57	$114.82	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $158.49	Professional		$41.69	$61.66	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $134.90	Professional		$48.98	$91.20	$134.90
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $177.83	Professional		$74.13	$104.71	$177.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $223.87 / $323.59	Facility		$128.82	$223.87	$323.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $144.54	Professional		$54.95	$79.43	$144.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $177.83 / $416.87	Facility		$60.26	$177.83	$416.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $83.18 / $288.40	Professional		$52.48	$83.18	$288.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,398.83 / $2,398.83	Facility		$1,000.00	$2,398.83	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $60.26	Facility		$38.02	$38.02	$60.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $245.47	Professional		$38.02	$60.26	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $85.11	Facility		$70.79	$70.79	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $97.72	Professional		$29.51	$41.69	$97.72