Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,148.15 / $1,148.15	Facility		$295.12	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $630.96	Professional		$281.84	$371.54	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
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 $363.08 / $537.03 / $676.08	Professional		$363.08	$537.03	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $707.95	Facility		$407.38	$407.38	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $407.38	Professional		$302.00	$302.00	$407.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,348.96	Professional		$660.69	$933.25	$1,348.96
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $676.08	Professional		$398.11	$467.74	$676.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $1,148.15	Facility		$295.12	$295.12	$1,148.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $707.95	Professional		$281.84	$380.19	$707.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $954.99 / $1,380.38	Professional		$0.60	$954.99	$1,380.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $630.96	Facility		$316.23	$316.23	$630.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $660.69	Professional		$316.23	$416.87	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $891.25 / $1,071.52	Facility		$295.12	$891.25	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $645.65	Professional		$295.12	$371.54	$645.65