Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $912.01 / $912.01	Facility		$234.42	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $478.63	Professional		$234.42	$295.12	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $436.52 / $446.68	Professional		$426.58	$436.52	$446.68
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 $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $128.82 / $323.59	Facility		$21.38	$128.82	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $323.59	Professional		$239.88	$239.88	$323.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,096.48	Professional		$537.03	$758.58	$1,096.48
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $575.44	Professional		$346.74	$407.38	$575.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $426.58	Professional		$380.19	$426.58	$426.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $912.01	Facility		$234.42	$234.42	$912.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $524.81	Professional		$234.42	$302.00	$524.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $912.01	Facility		$53.70	$53.70	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $44.67 / $64.57	Professional		$0.60	$44.67	$64.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $416.87 / $537.03	Facility		$407.38	$416.87	$537.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $549.54	Professional		$407.38	$416.87	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $707.95 / $851.14	Facility		$245.47	$707.95	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $537.03	Professional		$223.87	$281.84	$537.03