Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,691.53 / $8,317.64	Facility		$724.44	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $263.03 / $501.19	Professional		$151.36	$263.03	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $501.19	Professional		$288.40	$302.00	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $489.78	Professional		$158.49	$263.03	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $281.84 / $575.44	Professional		$12.02	$281.84	$575.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $537.03	Professional		$199.53	$354.81	$537.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,344.23 / $8,317.64	Facility		$616.60	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $302.00 / $758.58	Professional		$158.49	$302.00	$758.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $645.65	Facility		$229.09	$229.09	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $295.12 / $645.65	Professional		$281.84	$295.12	$645.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $288.40 / $309.03	Facility		$194.98	$288.40	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $309.03	Professional		$162.18	$288.40	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,187.76 / $5,248.07	Facility		$467.74	$2,187.76	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $436.52	Professional		$158.49	$257.04	$436.52