Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,230.27 / $1,230.27	Facility		$316.23	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $630.96	Professional		$275.42	$363.08	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
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 / $575.44 / $724.44	Professional		$398.11	$575.44	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $691.83	Facility		$398.11	$398.11	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $416.87	Professional		$288.40	$288.40	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,318.26	Professional		$645.65	$912.01	$1,318.26
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $724.44	Professional		$426.58	$489.78	$724.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $1,230.27	Facility		$316.23	$316.23	$1,230.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $630.96	Professional		$275.42	$371.54	$630.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $933.25 / $1,348.96	Professional		$0.60	$933.25	$1,348.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $676.08	Facility		$489.78	$489.78	$676.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $691.83	Professional		$467.74	$489.78	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $851.14 / $1,023.29	Facility		$281.84	$851.14	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $630.96	Professional		$309.03	$380.19	$630.96