Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $812.83 / $2,951.21	Facility		$208.93	$812.83	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $2,570.40	Professional		$223.87	$309.03	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $407.38	Professional		$380.19	$389.05	$407.38
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 $288.40 / $416.87 / $524.81	Professional		$288.40	$416.87	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $602.56	Facility		$363.08	$363.08	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Professional		$263.03	$263.03	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,148.15	Professional		$549.54	$794.33	$1,148.15
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $524.81	Professional		$316.23	$363.08	$524.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,344.23	Facility		$891.25	$891.25	$2,344.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $416.87	Professional		$363.08	$407.38	$416.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $812.83 / $2,951.21	Facility		$208.93	$812.83	$2,951.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $933.25	Professional		$229.09	$323.59	$933.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $954.99	Facility		$223.87	$223.87	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $954.99	Professional		$186.21	$186.21	$954.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $363.08 / $489.78	Facility		$331.13	$363.08	$489.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $562.34	Professional		$363.08	$363.08	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $691.83 / $831.76	Facility		$251.19	$691.83	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $467.74	Professional		$208.93	$257.04	$467.74