Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $169.82 / $309.03	Facility		$114.82	$169.82	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $316.23	Professional		$89.13	$147.91	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $181.97	Professional		$104.71	$128.82	$181.97
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 $144.54 / $151.36 / $223.87	Professional		$144.54	$151.36	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $223.87	Professional		$89.13	$128.82	$223.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $144.54 / $275.42	Professional		$51.29	$144.54	$275.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $190.55	Professional		$87.10	$102.33	$190.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $95.50	Facility		$93.33	$93.33	$95.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $234.42	Professional		$131.83	$162.18	$234.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $141.25 / $269.15	Facility		$89.13	$141.25	$269.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $275.42	Professional		$89.13	$138.04	$275.42
Optum Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $165.96	Professional		$104.71	$144.54	$165.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $275.42	Facility		$102.33	$102.33	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $316.23	Professional		$102.33	$123.03	$316.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $109.65 / $125.89	Facility		$24.55	$109.65	$125.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $81.28 / $309.03	Professional		$24.55	$81.28	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $194.98	Professional		$87.10	$125.89	$194.98