Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $194.98 / $398.11	Facility		$63.10	$194.98	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $120.23	Professional		$36.31	$39.81	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.99 / $33.11	Professional		$21.38	$23.99	$33.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $331.13 / $5,011.87	Facility		$251.19	$331.13	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $44.67	Professional		$37.15	$37.15	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $74.13 / $162.18	Facility		$31.62	$74.13	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $53.70 / $83.18	Professional		$30.90	$53.70	$83.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $69.18	Professional		$22.39	$28.18	$69.18
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $83.18	Professional		$46.77	$53.70	$83.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $120.23 / $295.12	Facility		$66.07	$120.23	$295.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $39.81	Professional		$28.84	$28.84	$39.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $194.98 / $398.11	Facility		$57.54	$194.98	$398.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $169.82	Professional		$35.48	$44.67	$169.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $389.05 / $602.56	Facility		$380.19	$389.05	$602.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $64.57 / $144.54	Facility		$44.67	$64.57	$144.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $251.19	Professional		$44.67	$64.57	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $47.86 / $57.54	Facility		$31.62	$47.86	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $83.18	Professional		$21.38	$33.11	$83.18