Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $74.13 / $158.49	Facility		$22.91	$74.13	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $33.88	Professional		$12.02	$15.14	$33.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $5,011.87	Facility		$67.61	$89.13	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $28.84 / $63.10	Facility		$12.30	$28.84	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $18.20 / $28.18	Professional		$8.32	$18.20	$28.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $26.92	Professional		$8.71	$10.96	$26.92
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.62 / $32.36	Professional		$14.13	$18.62	$32.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $57.54 / $125.89	Facility		$25.70	$57.54	$125.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $72.44 / $125.89	Facility		$19.95	$72.44	$125.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $54.95	Professional		$12.02	$15.14	$54.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $954.99 / $1,174.90	Facility		$912.01	$954.99	$1,174.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.49 / $20.42	Facility		$14.13	$15.49	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.49 / $20.42	Professional		$13.49	$15.49	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $18.62 / $22.39	Facility		$9.55	$18.62	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $28.18	Professional		$7.76	$11.22	$28.18