Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $93.33 / $309.03	Facility		$28.18	$93.33	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $61.66 / $104.71	Professional		$25.12	$61.66	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $112.20	Professional		$75.86	$100.00	$112.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $77,624.71	Facility		$8,511.38	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $112.20	Professional		$72.44	$85.11	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $165.96	Facility		$42.66	$42.66	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $75.86 / $131.83	Professional		$28.18	$75.86	$131.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $223.87	Professional		$128.82	$169.82	$223.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $107.15 / $177.83	Professional		$31.62	$107.15	$177.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $208.93 / $245.47	Facility		$169.82	$208.93	$245.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $89.13 / $309.03	Facility		$28.18	$89.13	$309.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $67.61 / $151.36	Professional		$25.12	$67.61	$151.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $208.93	Professional		$165.96	$194.98	$208.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $26.30 / $79.43	Facility		$10.72	$26.30	$79.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $26.92 / $75.86	Professional		$10.72	$26.92	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $208.93	Facility		$104.71	$165.96	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $60.26 / $112.20	Professional		$25.12	$60.26	$112.20