Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $269.15 / $269.15	Facility		$69.18	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $151.36	Professional		$67.61	$87.10	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $131.83	Professional		$128.82	$128.82	$131.83
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 $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $173.78	Facility		$104.71	$104.71	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $104.71	Professional		$75.86	$75.86	$104.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $323.59	Professional		$158.49	$223.87	$323.59
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $173.78	Professional		$102.33	$120.23	$173.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $125.89	Professional		$114.82	$114.82	$125.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $269.15	Facility		$69.18	$69.18	$269.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $208.93	Professional		$69.18	$89.13	$208.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $275.42	Facility		$67.61	$67.61	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $275.42	Professional		$56.23	$56.23	$275.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $162.18	Facility		$120.23	$120.23	$162.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $165.96	Professional		$120.23	$120.23	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $208.93 / $251.19	Facility		$75.86	$208.93	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $151.36	Professional		$64.57	$83.18	$151.36