Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,691.53 / $7,762.47	Facility		$398.11	$2,691.53	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $5,754.40 / $5,754.40	Facility	50	$3,019.95	$5,754.40	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $302.00	Professional		$74.13	$128.82	$302.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $346.74 / $870.96	Professional	50	$199.53	$346.74	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $263.03	Professional		$131.83	$173.78	$263.03
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $275.42 / $398.11	Professional	50	$194.98	$275.42	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $257.04	Professional		$85.11	$147.91	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $309.03	Professional		$177.83	$245.47	$309.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $251.19	Professional		$141.25	$186.21	$251.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,089.30 / $7,244.36	Facility		$389.05	$2,089.30	$7,244.36
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $3,019.95 / $5,754.40 / $5,754.40	Facility	50	$3,019.95	$5,754.40	$5,754.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $389.05	Professional		$77.62	$151.36	$389.05
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $346.74 / $870.96	Professional	50	$199.53	$346.74	$870.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $316.23	Professional		$223.87	$281.84	$316.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $162.18 / $190.55	Facility		$77.62	$162.18	$190.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $128.82 / $190.55	Professional		$44.67	$128.82	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,584.89 / $3,890.45	Facility		$501.19	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $229.09	Professional		$77.62	$131.83	$229.09