Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $125.89 / $758.58	Facility		$26.30	$125.89	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $27.54 / $93.33	Professional		$10.00	$27.54	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.75 / $20.89	Professional		$10.47	$11.75	$20.89
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 $11.48 / $11.75 / $19.05	Professional		$11.48	$11.75	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.59 / $21.38	Professional		$10.47	$12.59	$21.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $29.51	Professional		$15.14	$19.05	$29.51
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.30 / $20.42	Professional		$11.22	$12.30	$20.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $69.18 / $489.78	Facility		$24.55	$69.18	$489.78
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,691.53 / $4,365.16	Facility		$1,202.26	$2,691.53	$4,365.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $169.82 / $812.83	Facility		$22.39	$169.82	$812.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $17.78 / $77.62	Professional		$10.00	$17.78	$77.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,630.27 / $5,495.41	Facility		$2,398.83	$2,630.27	$5,495.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $28.18	Professional		$19.05	$22.39	$28.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $11.48 / $11.48	Facility		$10.47	$11.48	$11.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.72 / $21.88	Professional		$7.08	$10.72	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $19.95	Professional		$8.91	$11.75	$19.95