Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,318.26 / $1,318.26	Facility		$346.74	$1,318.26	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $831.76	Professional		$338.84	$416.87	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
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 $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $794.33	Facility		$501.19	$501.19	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $501.19	Professional		$363.08	$363.08	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,479.11	Professional		$724.44	$1,023.29	$1,479.11
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $549.54 / $851.14	Professional		$512.86	$549.54	$851.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $1,318.26	Facility		$346.74	$346.74	$1,318.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $870.96	Professional		$346.74	$436.52	$870.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,096.48 / $1,513.56	Professional		$0.60	$1,096.48	$1,513.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $794.33	Facility		$602.56	$602.56	$794.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $794.33	Professional		$602.56	$602.56	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,047.13 / $1,258.93	Facility		$380.19	$1,047.13	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $758.58	Professional		$323.59	$416.87	$758.58