Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $512.86 / $2,238.72	Facility		$162.18	$512.86	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $1,096.48	Professional		$162.18	$218.78	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $524.81	Professional		$100.00	$104.71	$524.81
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 $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $446.68	Facility		$234.42	$234.42	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $245.47	Professional		$169.82	$169.82	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $851.14	Professional		$407.38	$575.44	$851.14
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $407.38	Professional		$245.47	$288.40	$407.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $891.25 / $1,819.70	Facility		$138.04	$891.25	$1,819.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $302.00 / $426.58	Professional		$281.84	$302.00	$426.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $512.86 / $2,041.74	Facility		$162.18	$512.86	$2,041.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $645.65	Professional		$165.96	$234.42	$645.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $707.95	Facility		$125.89	$125.89	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $707.95	Professional		$104.71	$104.71	$707.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $288.40 / $380.19	Facility		$81.28	$288.40	$380.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $288.40 / $416.87	Professional		$81.28	$288.40	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $501.19 / $602.56	Facility		$181.97	$501.19	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $446.68	Professional		$141.25	$199.53	$446.68