Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,737.80 / $6,165.95	Facility		$363.08	$1,737.80	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $398.11 / $933.25	Professional		$91.20	$398.11	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $229.09	Professional		$89.13	$138.04	$229.09
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 $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $891.25 / $1,778.28	Facility		$338.84	$891.25	$1,778.28
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $407.38 / $407.38 / $407.38	Facility	22	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	53	$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $758.58	Professional		$208.93	$380.19	$758.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,023.29	Professional		$524.81	$707.95	$1,023.29
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $489.78 / $812.83	Professional		$251.19	$489.78	$812.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $3,890.45	Facility		$954.99	$1,862.09	$3,890.45
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility	52	$1,258.93	$1,258.93	$1,258.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $389.05	Professional		$229.09	$257.04	$389.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,584.89 / $5,623.41	Facility		$363.08	$1,584.89	$5,623.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $446.68 / $977.24	Professional		$204.17	$446.68	$977.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,467.37 / $4,265.80	Facility		$478.63	$3,467.37	$4,265.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $1,071.52	Professional		$478.63	$851.14	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $338.84 / $562.34	Facility		$44.67	$338.84	$562.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $281.84 / $457.09	Professional		$44.67	$281.84	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,905.46 / $4,265.80	Facility		$549.54	$1,905.46	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $630.96	Professional		$186.21	$371.54	$630.96