Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $173.78 / $436.52	Facility		$66.07	$173.78	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $229.09	Professional		$48.98	$61.66	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
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 $51.29 / $51.29 / $147.91	Professional		$51.29	$51.29	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $107.15 / $223.87	Facility		$63.10	$107.15	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $70.79 / $134.90	Professional		$34.67	$70.79	$134.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $123.03	Professional		$45.71	$85.11	$123.03
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $165.96	Professional		$70.79	$107.15	$165.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $162.18 / $380.19	Facility		$91.20	$162.18	$380.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $173.78 / $489.78	Facility		$66.07	$173.78	$489.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $239.88	Professional		$50.12	$66.07	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $64.57 / $97.72	Facility		$42.66	$64.57	$97.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $173.78	Professional		$42.66	$75.86	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $77.62	Facility		$66.07	$66.07	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $91.20	Professional		$27.54	$38.90	$91.20