Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $354.81 / $912.01	Facility		$97.72	$354.81	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $575.44	Professional		$81.28	$97.72	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $186.21	Professional		$61.66	$93.33	$186.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $128.82 / $5,011.87	Facility		$109.65	$128.82	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $169.82	Professional		$85.11	$100.00	$169.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $123.03	Professional		$85.11	$85.11	$123.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $158.49 / $309.03	Facility		$50.12	$158.49	$309.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $117.49	Facility		$100.00	$100.00	$117.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $354.81 / $1,071.52	Facility		$100.00	$354.81	$1,071.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $549.54	Professional		$81.28	$97.72	$549.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,754.23	Facility		$2,041.74	$2,089.30	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $302.00 / $363.08	Professional		$0.60	$302.00	$363.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $134.90 / $134.90	Facility		$97.72	$134.90	$134.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $134.90	Professional		$97.72	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $112.20	Professional		$85.11	$85.11	$112.20