Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $309.03 / $602.56	Facility		$154.88	$309.03	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $588.84	Professional		$162.18	$234.42	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $302.00 / $446.68	Professional		$281.84	$302.00	$446.68
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 $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $234.42 / $416.87	Facility		$223.87	$234.42	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $234.42	Professional		$173.78	$173.78	$234.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $794.33	Professional		$380.19	$537.03	$794.33
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $269.15 / $389.05	Professional		$234.42	$269.15	$389.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $660.69	Facility		$169.82	$169.82	$660.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $309.03	Professional		$257.04	$269.15	$309.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $302.00 / $602.56	Facility		$154.88	$302.00	$602.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $549.54	Professional		$162.18	$234.42	$549.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $660.69	Facility		$173.78	$173.78	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $660.69	Professional		$144.54	$144.54	$660.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Facility		$263.03	$263.03	$363.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $389.05	Professional		$263.03	$263.03	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $512.86 / $616.60	Facility		$173.78	$512.86	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $354.81	Professional		$158.49	$190.55	$354.81