Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $3,311.31 / $8,317.64	Facility		$363.08	$3,311.31	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $691.83 / $2,137.96	Professional		$199.53	$691.83	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $165.96 / $446.68	Professional		$75.86	$165.96	$446.68
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $2,570.40	Professional		$794.33	$933.25	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,398.83 / $4,786.30	Facility		$338.84	$2,398.83	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $851.14 / $2,344.23	Professional		$218.78	$851.14	$2,344.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,905.46	Professional		$1,000.00	$1,348.96	$1,905.46
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,230.27 / $1,778.28	Professional		$269.15	$1,230.27	$1,778.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,943.28 / $15,848.93	Facility		$2,884.03	$7,943.28	$15,848.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $316.23	Professional		$199.53	$204.17	$316.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,754.23 / $8,317.64	Facility		$575.44	$2,754.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $912.01 / $2,630.27	Professional		$204.17	$912.01	$2,630.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $512.86 / $2,187.76	Facility		$457.09	$512.86	$2,187.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,819.70 / $3,162.28	Professional		$457.09	$1,819.70	$3,162.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,023.29 / $1,584.89	Facility		$194.98	$1,023.29	$1,584.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $954.99 / $1,584.89	Professional		$194.98	$954.99	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,630.78 / $10,471.29	Facility		$1,288.25	$3,630.78	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $707.95 / $1,995.26	Professional		$190.55	$707.95	$1,995.26