Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,089.30 / $7,762.47	Facility		$173.78	$2,089.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $426.58	Professional		$104.71	$169.82	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $181.97	Professional		$112.20	$131.83	$181.97
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $269.15	Professional		$117.49	$165.96	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $295.12	Professional		$208.93	$269.15	$295.12
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $309.03	Professional		$128.82	$204.17	$309.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,388.44 / $10,964.78	Facility		$912.01	$3,388.44	$10,964.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $169.82	Professional		$162.18	$162.18	$169.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,862.09 / $7,244.36	Facility		$186.21	$1,862.09	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $389.05	Professional		$107.15	$173.78	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $114.82 / $407.38	Facility		$112.20	$114.82	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $407.38	Professional		$112.20	$117.49	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,691.53 / $5,888.44	Facility		$912.01	$2,691.53	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $263.03	Professional		$102.33	$151.36	$263.03