Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,137.96 / $6,456.54	Facility		$173.78	$2,137.96	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $446.68	Professional		$79.43	$165.96	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $95.50 / $169.82	Professional		$43.65	$95.50	$169.82
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 $117.49 / $173.78 / $204.17	Professional		$117.49	$173.78	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $645.65 / $1,949.84	Facility		$141.25	$645.65	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $302.00	Professional		$85.11	$162.18	$302.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $346.74	Professional		$177.83	$234.42	$346.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $338.84	Professional		$97.72	$186.21	$338.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $6,606.93	Facility		$1,698.24	$3,981.07	$6,606.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $93.33	Professional		$83.18	$83.18	$93.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,137.96 / $6,165.95	Facility		$186.21	$2,137.96	$6,165.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $181.97 / $467.74	Professional		$83.18	$181.97	$467.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $346.74 / $371.54	Facility		$295.12	$346.74	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $371.54	Professional		$251.19	$346.74	$371.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $169.82 / $616.60	Facility		$81.28	$169.82	$616.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $165.96 / $309.03	Professional		$75.86	$165.96	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,290.87 / $5,495.41	Facility		$524.81	$2,290.87	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $275.42	Professional		$77.62	$147.91	$275.42