Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $912.01 / $1,148.15	Facility		$295.12	$912.01	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $602.56	Professional		$263.03	$338.84	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $501.19	Professional		$389.05	$489.78	$501.19
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 $371.54 / $549.54 / $676.08	Professional		$371.54	$549.54	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $616.60	Facility		$457.09	$457.09	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $457.09	Professional		$338.84	$338.84	$457.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,174.90	Professional		$575.44	$812.83	$1,174.90
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $676.08	Professional		$363.08	$446.68	$676.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $549.54	Professional		$467.74	$537.03	$549.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $912.01 / $1,148.15	Facility		$295.12	$912.01	$1,148.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $758.58	Professional		$263.03	$354.81	$758.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $977.24	Facility		$263.03	$263.03	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $977.24	Professional		$218.78	$218.78	$977.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $316.23 / $630.96	Facility		$169.82	$316.23	$630.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $630.96	Professional		$169.82	$316.23	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $831.76 / $1,000.00	Facility		$275.42	$831.76	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $602.56	Professional		$295.12	$363.08	$602.56