Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $562.34 / $562.34	Facility		$144.54	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $426.58	Professional		$144.54	$204.17	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $309.03	Professional		$177.83	$263.03	$309.03
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 $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $398.11	Facility		$229.09	$229.09	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $245.47	Professional		$165.96	$165.96	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $758.58	Professional		$363.08	$524.81	$758.58
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $363.08	Professional		$213.80	$251.19	$363.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,230.27 / $1,621.81	Facility		$363.08	$1,230.27	$1,621.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $363.08	Professional		$239.88	$251.19	$363.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $562.34	Facility		$144.54	$144.54	$562.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $478.63	Professional		$144.54	$218.78	$478.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $630.96	Facility		$269.15	$269.15	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $630.96	Professional		$147.91	$147.91	$630.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $245.47 / $338.84	Facility		$12.59	$245.47	$338.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $245.47 / $371.54	Professional		$12.59	$245.47	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $467.74 / $562.34	Facility		$169.82	$467.74	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $316.23	Professional		$141.25	$177.83	$316.23