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 $213.80 / $323.59 / $691.83	Professional		$213.80	$323.59	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
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 $309.03 / $338.84 / $338.84	Professional		$309.03	$338.84	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $933.25 / $1,862.09	Facility		$346.74	$933.25	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $616.60	Professional		$229.09	$354.81	$616.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $676.08	Professional		$354.81	$478.63	$676.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $562.34	Professional		$269.15	$354.81	$562.34
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 $223.87 / $389.05 / $933.25	Professional		$223.87	$389.05	$933.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $323.59 / $691.83	Facility		$295.12	$323.59	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $645.65 / $812.83	Professional		$295.12	$645.65	$812.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $309.03 / $478.63	Facility		$213.80	$309.03	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $338.84	Professional		$213.80	$309.03	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,137.96 / $5,128.61	Facility		$549.54	$2,137.96	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $524.81	Professional		$213.80	$316.23	$524.81