Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $588.84 / $588.84	Facility		$151.36	$588.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $870.96	Professional		$162.18	$281.84	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $371.54	Professional		$190.55	$281.84	$371.54
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 $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $380.19	Facility		$208.93	$208.93	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $208.93	Professional		$154.88	$154.88	$208.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $707.95	Professional		$346.74	$489.78	$707.95
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $380.19	Professional		$223.87	$263.03	$380.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $295.12	Professional		$257.04	$295.12	$295.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $588.84	Facility		$151.36	$151.36	$588.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $794.33	Professional		$162.18	$234.42	$794.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $602.56	Facility		$199.53	$199.53	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $575.44	Professional		$199.53	$199.53	$575.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $263.03 / $263.03	Facility		$234.42	$263.03	$263.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $776.25	Professional		$263.03	$354.81	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $457.09 / $549.54	Facility		$165.96	$457.09	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $331.13	Professional		$141.25	$186.21	$331.13