Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,715.35 / $8,317.64	Facility		$724.44	$3,715.35	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $151.36	Professional		$32.36	$47.86	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $41.69 / $41.69	Professional		$20.89	$41.69	$41.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $134.90	Professional		$52.48	$75.86	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $91.20	Professional		$34.67	$53.70	$91.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $95.50	Professional		$54.95	$74.13	$95.50
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $100.00	Professional		$44.67	$61.66	$100.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,737.80	Facility		$630.96	$630.96	$1,737.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,630.27 / $8,317.64	Facility		$831.76	$2,630.27	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $141.25	Professional		$33.11	$57.54	$141.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $120.23	Professional		$85.11	$93.33	$120.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $74.13 / $407.38	Facility		$33.88	$74.13	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $407.38	Professional		$32.36	$46.77	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $831.76 / $3,890.45	Facility		$223.87	$831.76	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $81.28	Professional		$33.11	$50.12	$81.28