Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $131.83 / $281.84	Facility		$69.18	$131.83	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $331.13	Professional		$58.88	$102.33	$331.13
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $151.36 / $208.93 / $239.88	Professional	CQ	$151.36	$208.93	$239.88
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 $89.13 / $102.33 / $169.82	Professional		$89.13	$102.33	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $125.89	Facility		$64.57	$75.86	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $162.18	Professional		$51.29	$87.10	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $131.83	Professional		$81.28	$81.28	$131.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $165.96	Professional		$85.11	$107.15	$165.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $190.55 / $416.87	Facility		$77.62	$190.55	$416.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $87.10	Professional		$70.79	$81.28	$87.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $128.82 / $281.84	Facility		$69.18	$128.82	$281.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $239.88	Professional		$58.88	$87.10	$239.88
Martin's Point Facility/Professional Professional Modifier CQ Low / Median / High Price $151.36 / $208.93 / $239.88	Professional	CQ	$151.36	$208.93	$239.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $165.96 / $213.80	Facility		$158.49	$165.96	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $83.18 / $257.04	Professional		$79.43	$83.18	$257.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $38.02 / $87.10	Facility		$33.88	$38.02	$87.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $97.72	Professional		$33.88	$38.02	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $107.15 / $109.65	Facility		$97.72	$107.15	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $123.03	Professional		$69.18	$85.11	$123.03