Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $208.93 / $316.23	Facility		$30.20	$208.93	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $79.43	Professional		$30.20	$38.90	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $74.13	Professional		$72.44	$72.44	$74.13
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 $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $74.13	Facility		$46.77	$46.77	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $46.77	Professional		$33.88	$33.88	$46.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $141.25	Professional		$67.61	$95.50	$141.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $51.29 / $75.86	Professional		$44.67	$51.29	$75.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $213.80 / $457.09	Facility		$158.49	$213.80	$457.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $144.54 / $316.23	Facility		$30.20	$144.54	$316.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $102.33	Professional		$30.20	$40.74	$102.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $117.49	Facility		$44.67	$44.67	$117.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $44.67 / $117.49	Professional		$0.60	$44.67	$117.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $52.48 / $52.48	Facility		$51.29	$52.48	$52.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $190.55	Professional		$45.71	$52.48	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $97.72 / $117.49	Facility		$33.11	$97.72	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $67.61	Professional		$29.51	$37.15	$67.61