Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $691.83 / $691.83	Facility		$177.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $363.08	Professional		$173.78	$208.93	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
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 $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $407.38	Facility		$251.19	$251.19	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $251.19	Professional		$186.21	$186.21	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $776.25	Professional		$371.54	$537.03	$776.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $446.68	Professional		$263.03	$288.40	$446.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $323.59	Professional		$295.12	$302.00	$323.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $691.83	Facility		$177.83	$177.83	$691.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $478.63	Professional		$173.78	$213.80	$478.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $549.54 / $794.33	Professional		$0.60	$549.54	$794.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Facility		$309.03	$309.03	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Professional		$309.03	$309.03	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $549.54 / $660.69	Facility		$199.53	$549.54	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $389.05	Professional		$165.96	$218.78	$389.05