Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,630.27 / $8,317.64	Facility		$263.03	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $331.13 / $1,000.00	Professional		$141.25	$331.13	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $588.84	Professional		$173.78	$288.40	$588.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $562.34	Professional		$398.11	$512.86	$562.34
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $363.08 / $537.03	Professional		$213.80	$363.08	$537.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $6,760.83 / $10,964.78	Facility		$1,862.09	$6,760.83	$10,964.78
Highmark BCBS Facility/Professional Facility Modifier 53 Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility	53	$10,964.78	$10,964.78	$10,964.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,344.23 / $7,762.47	Facility		$309.03	$2,344.23	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $338.84 / $891.25	Professional		$162.18	$338.84	$891.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $794.33	Facility		$295.12	$295.12	$794.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $549.54 / $691.83	Professional		$275.42	$549.54	$691.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $302.00 / $354.81	Facility		$147.91	$302.00	$354.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $309.03 / $380.19	Professional		$144.54	$309.03	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,000.00	Facility		$1,348.96	$3,548.13	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $501.19	Professional		$162.18	$269.15	$501.19