Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $107.15 / $295.12	Facility		$33.88	$107.15	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $66.07 / $151.36	Professional		$30.20	$66.07	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $53.70	Professional		$40.74	$53.70	$53.70
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 $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $46.77	Professional		$38.02	$38.02	$46.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $134.90	Professional		$64.57	$93.33	$134.90
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $70.79	Professional		$42.66	$50.12	$70.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $100.00 / $295.12	Facility		$53.70	$100.00	$295.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $131.83	Professional		$30.20	$60.26	$131.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $112.20	Facility		$26.30	$26.30	$112.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $112.20	Professional		$21.88	$21.88	$112.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $66.07	Facility		$50.12	$50.12	$66.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $93.33	Professional		$50.12	$66.07	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $47.86	Facility		$25.12	$33.88	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $63.10	Professional		$24.55	$34.67	$63.10