Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $8,511.38	Facility		$1,288.25	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,737.80	Professional		$707.95	$831.76	$1,737.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,659.59	Professional		$776.25	$1,023.29	$1,659.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,258.93	Professional		$891.25	$1,122.02	$1,258.93
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,584.89	Professional		$794.33	$1,023.29	$1,584.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $2,454.71	Professional		$707.95	$977.24	$2,454.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,698.24	Facility		$1,047.13	$1,047.13	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,737.80	Professional		$954.99	$1,288.25	$1,737.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $870.96 / $870.96	Facility		$812.83	$870.96	$870.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $831.76 / $870.96	Professional		$794.33	$831.76	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $15,488.17	Facility		$2,089.30	$3,981.07	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,659.59	Professional		$758.58	$977.24	$1,659.59