Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $870.96 / $2,454.71	Facility		$295.12	$870.96	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $1,258.93	Professional		$194.98	$275.42	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $338.84 / $776.25	Professional		$30.20	$338.84	$776.25
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 $263.03 / $380.19 / $478.63	Professional		$263.03	$380.19	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $457.09	Facility		$295.12	$295.12	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $295.12	Professional		$213.80	$213.80	$295.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $870.96	Professional		$426.58	$602.56	$870.96
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $478.63	Professional		$288.40	$323.59	$478.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,096.48 / $1,621.81	Facility		$676.08	$1,096.48	$1,621.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $354.81 / $489.78	Professional		$316.23	$354.81	$489.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $870.96 / $2,454.71	Facility		$436.52	$870.96	$2,454.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $741.31	Professional		$199.53	$281.84	$741.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $724.44	Facility		$173.78	$173.78	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $707.95	Professional		$144.54	$144.54	$707.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $302.00 / $446.68	Facility		$32.36	$302.00	$446.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $323.59 / $457.09	Professional		$32.36	$323.59	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $588.84 / $707.95	Facility		$213.80	$588.84	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $426.58	Professional		$181.97	$234.42	$426.58