Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $34.67 / $138.04	Facility		$10.72	$34.67	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.76 / $33.11	Professional		$6.03	$6.76	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.90 / $8.13	Professional		$3.47	$4.90	$8.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $57.54 / $5,011.87	Facility		$43.65	$57.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $26.30	Professional		$6.31	$6.31	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $12.59 / $28.18	Facility		$5.50	$12.59	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.12 / $14.45	Professional		$5.01	$9.12	$14.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $7.24 / $11.75	Professional		$3.80	$7.24	$11.75
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.12 / $14.13	Professional		$7.94	$9.12	$14.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $22.39 / $72.44	Facility		$12.02	$22.39	$72.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.37 / $7.94	Professional		$4.90	$5.37	$7.94
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $457.09 / $776.25	Facility		$15.49	$457.09	$776.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $34.67 / $147.91	Facility		$9.33	$34.67	$147.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.13 / $30.20	Professional		$6.03	$8.13	$30.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $2,187.76	Facility		$1,000.00	$1,737.80	$2,187.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.77 / $9.77	Facility		$8.13	$9.77	$9.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $9.77 / $40.74	Professional		$4.90	$9.77	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $8.13 / $9.77	Facility		$4.47	$8.13	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.25 / $14.13	Professional		$3.47	$5.25	$14.13