Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $123.03	Facility		$100.00	$100.00	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $177.83	Professional		$79.43	$107.15	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $107.15 / $151.36	Professional		$95.50	$107.15	$151.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $77,624.71	Facility		$8,511.38	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $181.97	Professional		$95.50	$112.20	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $239.88	Professional		$128.82	$162.18	$239.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $204.17	Professional		$104.71	$123.03	$204.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $112.20	Professional		$104.71	$112.20	$112.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $218.78	Professional		$83.18	$109.65	$218.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $223.87	Facility		$181.97	$181.97	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $234.42	Professional		$162.18	$199.53	$234.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $107.15 / $331.13	Facility		$97.72	$107.15	$331.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $331.13	Professional		$97.72	$107.15	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $125.89 / $125.89	Facility		$114.82	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $194.98	Professional		$91.20	$117.49	$194.98