Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $144.54 / $245.47	Facility		$37.15	$144.54	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $194.98	Professional		$39.81	$69.18	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $100.00	Professional		$58.88	$77.62	$100.00
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 $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $87.10	Facility		$85.11	$85.11	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $87.10	Professional		$61.66	$61.66	$87.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $147.91	Professional		$70.79	$102.33	$147.91
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $77.62	Professional		$46.77	$54.95	$77.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $77.62	Professional		$52.48	$72.44	$77.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $144.54 / $245.47	Facility		$37.15	$144.54	$245.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $67.61 / $158.49	Professional		$41.69	$67.61	$158.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $151.36 / $269.15	Facility		$56.23	$151.36	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $47.86 / $151.36	Professional		$0.60	$47.86	$151.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $81.28 / $100.00	Facility		$72.44	$81.28	$100.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $309.03	Professional		$75.86	$81.28	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $125.89 / $151.36	Facility		$54.95	$125.89	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $95.50	Professional		$43.65	$56.23	$95.50