Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $186.21 / $186.21	Facility		$47.86	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $102.33	Professional		$46.77	$58.88	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
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 $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $120.23	Facility		$75.86	$75.86	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $229.09	Professional		$109.65	$154.88	$229.09
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $83.18 / $120.23	Professional		$72.44	$83.18	$120.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $81.28	Professional		$79.43	$81.28	$81.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $186.21	Facility		$47.86	$47.86	$186.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $112.20	Professional		$47.86	$60.26	$112.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $44.67 / $190.55	Professional		$0.60	$44.67	$190.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $144.54 / $173.78	Facility		$52.48	$144.54	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $104.71	Professional		$43.65	$58.88	$104.71