Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,715.35 / $8,511.38	Facility		$645.65	$3,715.35	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $436.52	Professional		$70.79	$173.78	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $125.89	Professional		$54.95	$107.15	$125.89
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 $177.83 / $208.93 / $346.74	Professional		$177.83	$208.93	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $562.34 / $1,412.54	Facility		$123.03	$562.34	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $190.55 / $346.74	Professional		$77.62	$190.55	$346.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $501.19	Professional		$263.03	$354.81	$501.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $229.09 / $389.05	Professional		$81.28	$229.09	$389.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $4,570.88	Facility		$1,122.02	$1,949.84	$4,570.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $234.42	Professional		$102.33	$120.23	$234.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,691.53 / $8,317.64	Facility		$645.65	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $199.53 / $549.54	Professional		$74.13	$199.53	$549.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $467.74	Facility		$190.55	$190.55	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $380.19 / $512.86	Professional		$186.21	$380.19	$512.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $63.10 / $144.54	Facility		$19.95	$63.10	$144.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $70.79 / $208.93	Professional		$19.95	$70.79	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,819.70 / $3,890.45	Facility		$549.54	$1,819.70	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $158.49 / $288.40	Professional		$69.18	$158.49	$288.40