Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $30.20 / $41.69	Facility		$8.91	$30.20	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $25.70	Professional		$7.94	$8.91	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $54.95 / $5,011.87	Facility		$41.69	$54.95	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $10.96	Professional		$8.71	$8.71	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $29.51 / $53.70	Facility		$13.49	$29.51	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.60 / $33.11	Professional		$9.12	$16.60	$33.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $15.85	Professional		$13.80	$13.80	$15.85
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.13 / $24.55	Professional		$8.71	$14.13	$24.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $30.20 / $41.69	Facility		$11.75	$30.20	$41.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $30.20	Professional		$7.94	$10.00	$30.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.88 / $45.71	Facility		$10.96	$12.88	$45.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $12.88 / $45.71	Professional		$4.68	$12.88	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $13.18	Facility		$10.96	$10.96	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.61 / $13.80	Professional		$4.68	$6.61	$13.80