Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $263.03 / $851.14	Facility		$141.25	$263.03	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $933.25	Professional		$141.25	$245.47	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $309.03	Professional		$158.49	$251.19	$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 $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $331.13	Facility		$213.80	$213.80	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $251.19	Professional		$154.88	$154.88	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $630.96	Professional		$302.00	$436.52	$630.96
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $354.81	Professional		$213.80	$229.09	$354.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $275.42 / $812.83	Facility		$234.42	$275.42	$812.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $281.84	Professional		$234.42	$257.04	$281.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $263.03 / $851.14	Facility		$141.25	$263.03	$851.14
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $602.56	Professional		$141.25	$204.17	$602.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,096.48 / $1,584.89	Facility		$524.81	$1,096.48	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $128.82 / $181.97	Professional		$0.60	$128.82	$181.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $251.19 / $478.63	Facility		$100.00	$251.19	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $239.88 / $478.63	Professional		$100.00	$239.88	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $426.58 / $512.86	Facility		$154.88	$426.58	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $323.59	Professional		$134.90	$173.78	$323.59