Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $58.88 / $426.58	Facility		$40.74	$58.88	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $213.80	Professional		$38.02	$61.66	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $54.95	Professional		$42.66	$42.66	$54.95
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 $56.23 / $70.79 / $120.23	Professional		$56.23	$70.79	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $213.80 / $257.04	Facility		$102.33	$213.80	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $147.91	Professional		$42.66	$81.28	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $123.03	Professional		$63.10	$91.20	$123.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $158.49	Professional		$58.88	$85.11	$158.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $181.97	Facility		$165.96	$165.96	$181.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $56.23 / $1,862.09	Facility		$40.74	$56.23	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $162.18	Professional		$40.74	$72.44	$162.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $114.82	Facility		$104.71	$104.71	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $208.93	Professional		$100.00	$104.71	$208.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $54.95	Facility		$37.15	$37.15	$54.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $117.49	Professional		$34.67	$39.81	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $275.42 / $338.84	Facility		$144.54	$275.42	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $117.49	Professional		$39.81	$67.61	$117.49