Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $57.54 / $74.13	Facility		$52.48	$57.54	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $81.28	Professional		$52.48	$66.07	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
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 $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $154.88	Facility		$66.07	$66.07	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $263.03	Professional		$128.82	$177.83	$263.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $93.33	Professional		$70.79	$70.79	$93.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $57.54 / $74.13	Facility		$52.48	$57.54	$74.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $87.10	Professional		$52.48	$69.18	$87.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $56.23	Professional		$0.60	$0.60	$56.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $100.00	Professional		$46.77	$58.88	$100.00