Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $11.75 / $239.88	Facility		$5.25	$11.75	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $295.12	Professional		$67.61	$114.82	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $125.89	Professional		$74.13	$107.15	$125.89
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 $48.98 / $199.53 / $229.09	Professional		$48.98	$199.53	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $199.53	Professional		$89.13	$125.89	$199.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $251.19	Professional		$114.82	$158.49	$251.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $346.74	Professional		$107.15	$147.91	$346.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $11.75 / $229.09	Facility		$6.03	$11.75	$229.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $239.88	Professional		$67.61	$123.03	$239.88
Optum Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $154.88	Professional		$97.72	$128.82	$154.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $147.91 / $239.88	Facility		$123.03	$147.91	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $281.84	Professional		$123.03	$131.83	$281.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $52.48 / $134.90	Facility		$45.71	$52.48	$134.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $51.29 / $134.90	Professional		$27.54	$51.29	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $190.55	Professional		$87.10	$120.23	$190.55