Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $1,995.26 / $7,244.36	Facility		$97.72	$1,995.26	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $275.42	Professional		$51.29	$100.00	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $46.77 / $102.33	Professional		$21.88	$46.77	$102.33
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 $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $169.82 / $588.84	Facility		$89.13	$169.82	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $223.87	Professional		$54.95	$102.33	$223.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $190.55	Professional		$100.00	$134.90	$190.55
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $158.49	Professional		$61.66	$102.33	$158.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,513.56 / $3,388.44	Facility		$436.52	$1,513.56	$3,388.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $1,584.89 / $6,606.93	Facility		$97.72	$1,584.89	$6,606.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $109.65 / $288.40	Professional		$53.70	$109.65	$288.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $125.89 / $208.93	Facility		$117.49	$125.89	$208.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $245.47	Professional		$125.89	$181.97	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $70.79 / $117.49	Facility		$51.29	$70.79	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $186.21	Professional		$50.12	$70.79	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,148.15 / $3,235.94	Facility		$323.59	$1,148.15	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $89.13 / $151.36	Professional		$47.86	$89.13	$151.36