Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,862.09 / $7,244.36	Facility		$616.60	$1,862.09	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $676.08 / $1,778.28	Professional		$331.13	$676.08	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $954.99	Professional		$467.74	$630.96	$954.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $57,543.99	Facility		$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,230.27	Professional		$660.69	$1,047.13	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $630.96 / $1,023.29	Professional		$331.13	$630.96	$1,023.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $269.15 / $1,122.02	Professional		$23.99	$269.15	$1,122.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $1,258.93	Professional		$467.74	$812.83	$1,258.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,412.54 / $2,818.38	Facility		$741.31	$1,412.54	$2,818.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $645.65 / $741.31	Professional		$346.74	$645.65	$741.31
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $794.33	Professional		$630.96	$630.96	$794.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,698.24 / $6,165.95	Facility		$616.60	$1,698.24	$6,165.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $660.69 / $1,548.82	Professional		$323.59	$660.69	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $446.68 / $660.69	Facility		$346.74	$446.68	$660.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $660.69	Professional		$346.74	$446.68	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,230.27 / $3,890.45	Facility		$223.87	$1,230.27	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $933.25	Professional		$323.59	$575.44	$933.25