Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $162.18 / $6,760.83	Facility		$74.13	$162.18	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $186.21	Professional		$72.44	$81.28	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $95.50	Professional		$72.44	$74.13	$95.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $79.43 / $5,011.87	Facility		$67.61	$79.43	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $79.43	Professional		$74.13	$74.13	$79.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $91.20	Professional		$74.13	$77.62	$91.20
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $141.25	Professional		$70.79	$81.28	$141.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $154.88 / $245.47	Facility		$125.89	$154.88	$245.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $158.49 / $8,912.51	Facility		$74.13	$158.49	$8,912.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $173.78	Professional		$72.44	$81.28	$173.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $112.20 / $151.36	Professional		$0.60	$112.20	$151.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $81.28 / $85.11	Facility		$70.79	$81.28	$85.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $85.11	Professional		$70.79	$81.28	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $93.33	Professional		$74.13	$77.62	$93.33