Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $181.97 / $338.84	Facility		$46.77	$181.97	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $93.33	Professional		$39.81	$47.86	$93.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $117.49	Professional		$72.44	$85.11	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $102.33	Professional		$51.29	$66.07	$102.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $79.43	Professional		$54.95	$69.18	$79.43
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $97.72	Professional		$48.98	$64.57	$97.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $181.97 / $338.84	Facility		$46.77	$181.97	$338.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $134.90	Professional		$41.69	$57.54	$134.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $100.00	Facility		$77.62	$77.62	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $109.65	Professional		$66.07	$79.43	$109.65
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $74.13 / $112.20	Facility		$48.98	$74.13	$112.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $50.12 / $112.20	Professional		$13.18	$50.12	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $676.08 / $4,265.80	Facility		$144.54	$676.08	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $104.71	Professional		$47.86	$58.88	$104.71