Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $95.50	Facility		$34.67	$34.67	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $79.43 / $158.49	Professional		$32.36	$79.43	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
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 $89.13 / $123.03 / $218.78	Professional		$89.13	$123.03	$218.78
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 $37.15 / $87.10 / $194.98	Professional		$37.15	$87.10	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $199.53	Professional		$117.49	$158.49	$199.53
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $120.23 / $162.18	Professional		$37.15	$120.23	$162.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,000.00 / $1,348.96	Facility		$457.09	$1,000.00	$1,348.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $95.50	Facility		$34.67	$34.67	$95.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $87.10 / $223.87	Professional		$33.11	$87.10	$223.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $263.03	Professional		$173.78	$204.17	$263.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $33.88 / $141.25	Facility		$10.72	$33.88	$141.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.88 / $141.25	Professional		$17.78	$33.88	$141.25
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 $34.67 / $75.86 / $177.83	Professional		$34.67	$75.86	$177.83