Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $218.78 / $1,148.15	Facility		$56.23	$218.78	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $186.21	Professional		$56.23	$75.86	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $85.11	Professional		$66.07	$83.18	$85.11
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 $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $134.90	Facility		$93.33	$93.33	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $93.33	Professional		$67.61	$67.61	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $257.04	Professional		$125.89	$177.83	$257.04
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $141.25	Professional		$83.18	$95.50	$141.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $102.33	Professional		$93.33	$95.50	$102.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $281.84 / $1,148.15	Facility		$56.23	$281.84	$1,148.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $165.96	Professional		$56.23	$75.86	$165.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $213.80	Facility		$50.12	$50.12	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $213.80	Professional		$42.66	$42.66	$213.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $97.72 / $407.38	Facility		$66.07	$97.72	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $407.38	Professional		$66.07	$97.72	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $173.78 / $208.93	Facility		$63.10	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $123.03	Professional		$52.48	$69.18	$123.03