Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $123.03 / $208.93	Facility		$67.61	$123.03	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $309.03	Professional		$69.18	$125.89	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $131.83	Professional		$81.28	$102.33	$131.83
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 $112.20 / $117.49 / $169.82	Professional		$112.20	$117.49	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $169.82	Professional		$69.18	$100.00	$169.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $125.89 / $213.80	Professional		$42.66	$125.89	$213.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $147.91	Professional		$66.07	$77.62	$147.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $72.44 / $72.44	Facility		$48.98	$72.44	$72.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $158.49	Professional		$112.20	$128.82	$158.49
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $177.83	Professional		$147.91	$177.83	$177.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $97.72 / $208.93	Facility		$66.07	$97.72	$208.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $234.42	Professional		$67.61	$109.65	$234.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $213.80	Facility		$79.43	$79.43	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $245.47	Professional		$79.43	$95.50	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $87.10 / $102.33	Facility		$18.20	$87.10	$102.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $87.10 / $102.33	Professional		$18.20	$87.10	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $95.50 / $151.36	Professional		$64.57	$95.50	$151.36