Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $275.42 / $3,388.44	Facility		$109.65	$275.42	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $1,949.84	Professional		$104.71	$104.71	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $112.20 / $5,011.87	Facility		$95.50	$112.20	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $107.15	Professional		$104.71	$104.71	$107.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $97.72	Professional		$66.07	$77.62	$97.72
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $208.93 / $602.56	Professional		$107.15	$208.93	$602.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $616.60	Facility		$354.81	$354.81	$616.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $257.04 / $3,090.30	Facility		$104.71	$257.04	$3,090.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $426.58	Professional		$104.71	$107.15	$426.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $30.20 / $446.68	Professional		$0.60	$30.20	$446.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $117.49 / $125.89	Facility		$102.33	$117.49	$125.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $102.33 / $125.89	Professional		$29.51	$102.33	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $165.96	Professional		$104.71	$109.65	$165.96