Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $117.49 / $213.80	Facility		$75.86	$117.49	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $363.08	Professional		$87.10	$154.88	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $173.78	Professional		$95.50	$123.03	$173.78
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 $134.90 / $141.25 / $208.93	Professional		$134.90	$141.25	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $144.54 / $144.54	Facility		$97.72	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $208.93	Professional		$87.10	$123.03	$208.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $144.54 / $257.04	Professional		$54.95	$144.54	$257.04
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $173.78	Professional		$79.43	$95.50	$173.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $47.86 / $123.03	Facility		$12.88	$47.86	$123.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $181.97	Professional		$104.71	$128.82	$181.97
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $234.42	Professional		$177.83	$234.42	$234.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $89.13 / $199.53	Facility		$75.86	$89.13	$199.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $281.84	Professional		$85.11	$134.90	$281.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $120.23 / $257.04	Facility		$85.11	$120.23	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $295.12	Professional		$120.23	$120.23	$295.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $104.71 / $257.04	Facility		$17.38	$104.71	$257.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $123.03 / $478.63	Professional		$17.38	$123.03	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $181.97	Professional		$83.18	$117.49	$181.97