Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $512.86 / $5,011.87	Facility		$218.78	$512.86	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $501.19 / $2,137.96	Professional		$169.82	$501.19	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $199.53	Professional		$169.82	$177.83	$199.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $186.21 / $5,011.87	Facility		$158.49	$186.21	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $186.21	Professional		$169.82	$169.82	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $239.88	Professional		$177.83	$194.98	$239.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $416.87	Professional		$177.83	$239.88	$416.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $398.11 / $2,454.71	Facility		$199.53	$398.11	$2,454.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $501.19 / $5,011.87	Facility		$181.97	$501.19	$5,011.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $1,047.13	Professional		$169.82	$218.78	$1,047.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $380.19 / $446.68	Professional		$0.60	$380.19	$446.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $204.17 / $218.78	Facility		$186.21	$204.17	$218.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $218.78	Professional		$186.21	$204.17	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $257.04	Professional		$169.82	$181.97	$257.04