Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $125.89 / $346.74	Facility		$67.61	$125.89	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $123.03	Professional		$52.48	$56.23	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $107.15 / $5,011.87	Facility		$91.20	$107.15	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $56.23 / $56.23	Professional		$12.30	$56.23	$56.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $54.95	Professional		$40.74	$40.74	$54.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $181.97 / $380.19	Facility		$53.70	$181.97	$380.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $120.23 / $346.74	Facility		$67.61	$120.23	$346.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $125.89	Professional		$52.48	$56.23	$125.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $616.60 / $870.96	Facility		$602.56	$616.60	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $177.83 / $213.80	Professional		$0.60	$177.83	$213.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $63.10 / $69.18	Facility		$50.12	$63.10	$69.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $69.18	Professional		$53.70	$63.10	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $95.50	Professional		$56.23	$56.23	$95.50