Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $2,344.23 / $8,317.64	Facility		$102.33	$2,344.23	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $239.88	Professional		$54.95	$114.82	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $57,543.99	Facility		$3,801.89	$3,801.89	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $223.87	Professional		$109.65	$154.88	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $234.42	Professional		$64.57	$117.49	$234.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $223.87	Professional		$158.49	$204.17	$223.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $144.54 / $223.87	Professional		$63.10	$144.54	$223.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $5,011.87 / $11,220.18	Facility		$407.38	$5,011.87	$11,220.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,584.89 / $7,244.36	Facility		$104.71	$1,584.89	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $128.82 / $323.59	Professional		$57.54	$128.82	$323.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $275.42	Facility		$95.50	$95.50	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $234.42 / $281.84	Professional		$102.33	$234.42	$281.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $77.62 / $309.03	Facility		$42.66	$77.62	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $117.49 / $309.03	Professional		$42.66	$117.49	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,232.93	Facility		$2,089.30	$3,981.07	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $194.98	Professional		$57.54	$104.71	$194.98