Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $338.84 / $1,862.09	Facility		$331.13	$338.84	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $575.44	Professional		$288.40	$331.13	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $323.59	Professional		$288.40	$302.00	$323.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $549.54	Professional		$316.23	$331.13	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $691.83	Professional		$295.12	$407.38	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $676.08	Professional		$346.74	$501.19	$676.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $380.19 / $691.83	Professional		$331.13	$380.19	$691.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $389.05 / $407.38	Professional		$346.74	$389.05	$407.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $338.84 / $1,862.09	Facility		$331.13	$338.84	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $794.33	Professional		$295.12	$371.54	$794.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $645.65	Facility		$371.54	$371.54	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $630.96	Professional		$354.81	$363.08	$630.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $363.08	Facility		$309.03	$309.03	$363.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $363.08	Professional		$295.12	$309.03	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $616.60	Professional		$275.42	$371.54	$616.60