Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $204.17 / $346.74	Facility		$45.71	$204.17	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $58.88 / $281.84	Professional		$34.67	$58.88	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $69.18 / $91.20	Professional		$48.98	$69.18	$91.20
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 $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $75.86	Facility		$67.61	$67.61	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $67.61	Professional		$48.98	$48.98	$67.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $131.83	Professional		$64.57	$91.20	$131.83
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $69.18	Professional		$41.69	$48.98	$69.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $165.96 / $416.87	Facility		$45.71	$165.96	$416.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $74.13	Professional		$47.86	$64.57	$74.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $199.53 / $346.74	Facility		$39.81	$199.53	$346.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $181.97	Professional		$35.48	$58.88	$181.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $138.04	Facility		$44.67	$44.67	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $169.82	Professional		$37.15	$37.15	$169.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $74.13 / $79.43	Facility		$23.44	$74.13	$79.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $74.13 / $75.86	Professional		$19.95	$74.13	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $151.36 / $181.97	Facility		$48.98	$151.36	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $91.20	Professional		$38.90	$52.48	$91.20