Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $549.54 / $549.54	Facility		$144.54	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $398.11	Professional		$141.25	$204.17	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $309.03	Professional		$295.12	$302.00	$309.03
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 $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $316.23	Professional		$218.78	$218.78	$316.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $537.03	Professional		$257.04	$363.08	$537.03
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $281.84	Professional		$169.82	$194.98	$281.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $338.84	Professional		$190.55	$323.59	$338.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $549.54	Facility		$144.54	$144.54	$549.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $489.78	Professional		$144.54	$218.78	$489.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $562.34	Facility		$229.09	$229.09	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $229.09 / $691.83	Professional		$0.60	$229.09	$691.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $354.81 / $933.25	Facility		$316.23	$354.81	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $316.23 / $933.25	Professional		$309.03	$316.23	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $489.78 / $588.84	Facility		$218.78	$489.78	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $398.11	Professional		$169.82	$239.88	$398.11