Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $154.88 / $575.44	Facility		$26.30	$154.88	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $22.39 / $134.90	Professional		$11.22	$22.39	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $46.77	Professional		$10.96	$14.13	$46.77
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 $47.86 / $50.12 / $89.13	Professional		$47.86	$50.12	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $45.71 / $85.11	Professional		$12.30	$45.71	$85.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $117.49	Professional		$60.26	$75.86	$117.49
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $53.70 / $81.28	Professional		$13.49	$53.70	$81.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $123.03 / $489.78	Facility		$20.42	$123.03	$489.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.72 / $44.67	Professional		$9.77	$10.72	$44.67
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $831.76 / $1,318.26	Facility		$363.08	$831.76	$1,318.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $165.96 / $575.44	Facility		$22.91	$165.96	$575.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.18 / $117.49	Professional		$11.48	$28.18	$117.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,248.07 / $8,317.64	Facility		$4,786.30	$5,248.07	$8,317.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $91.20 / $107.15	Professional		$36.31	$91.20	$107.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $47.86 / $53.70	Facility		$9.12	$47.86	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $17.78 / $53.70	Professional		$10.23	$17.78	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $33.88 / $70.79	Professional		$11.22	$33.88	$70.79