Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $549.54 / $616.60	Facility		$64.57	$549.54	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $154.88	Professional		$63.10	$75.86	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $109.65	Professional		$87.10	$87.10	$109.65
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 $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $128.82 / $147.91	Facility		$125.89	$128.82	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $128.82	Professional		$109.65	$109.65	$128.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $281.84	Professional		$134.90	$194.98	$281.84
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $147.91	Professional		$89.13	$104.71	$147.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $549.54 / $616.60	Facility		$64.57	$549.54	$616.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $147.91	Professional		$56.23	$75.86	$147.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $199.53 / $288.40	Professional		$0.60	$199.53	$288.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $100.00	Facility		$85.11	$85.11	$100.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $100.00	Professional		$85.11	$85.11	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $194.98 / $234.42	Facility		$72.44	$194.98	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $141.25	Professional		$66.07	$81.28	$141.25