Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $5,370.32 / $8,709.64	Facility		$239.88	$5,370.32	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $389.05	Professional		$128.82	$208.93	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
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 $218.78 / $223.87 / $371.54	Professional		$218.78	$223.87	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $380.19	Professional		$138.04	$218.78	$380.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $309.03 / $426.58	Professional		$12.02	$309.03	$426.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $407.38	Professional		$173.78	$281.84	$407.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,365.16	Facility		$4,073.80	$4,073.80	$4,365.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $3,801.89 / $8,511.38	Facility		$371.54	$3,801.89	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $549.54	Professional		$138.04	$229.09	$549.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $467.74	Facility		$223.87	$223.87	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $302.00 / $467.74	Professional		$288.40	$302.00	$467.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $181.97 / $269.15	Facility		$74.13	$181.97	$269.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $181.97 / $407.38	Professional		$74.13	$181.97	$407.38
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 $134.90 / $208.93 / $338.84	Professional		$134.90	$208.93	$338.84