Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $489.78 / $851.14	Facility		$117.49	$489.78	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $512.86	Professional		$95.50	$120.23	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $5,011.87	Facility		$660.69	$870.96	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $281.84	Professional		$97.72	$97.72	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $426.58	Facility		$114.82	$204.17	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $281.84	Professional		$74.13	$120.23	$281.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $239.88	Professional		$87.10	$165.96	$239.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $316.23	Professional		$131.83	$186.21	$316.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $354.81 / $776.25	Facility		$165.96	$354.81	$776.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $446.68 / $851.14	Facility		$107.15	$446.68	$851.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $512.86	Professional		$95.50	$141.25	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $588.84	Professional		$177.83	$177.83	$588.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $123.03 / $165.96	Facility		$91.20	$123.03	$165.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $165.96	Professional		$91.20	$125.89	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $151.36	Facility		$125.89	$125.89	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $223.87	Professional		$75.86	$125.89	$223.87