Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $43.65 / $72.44	Facility		$15.85	$43.65	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $28.84	Professional		$10.96	$14.13	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $25.12	Professional		$8.51	$8.51	$25.12
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $95.50 / $5,011.87	Facility		$72.44	$95.50	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $14.13	Professional		$13.49	$13.49	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $26.30 / $50.12	Facility		$11.22	$26.30	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $19.05 / $30.90	Professional		$8.71	$19.05	$30.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.13 / $24.55	Professional		$5.01	$8.13	$24.55
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.60 / $29.51	Professional		$14.45	$16.60	$29.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $79.43 / $123.03	Facility		$41.69	$79.43	$123.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $42.66 / $74.13	Facility		$15.14	$42.66	$74.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $42.66	Professional		$12.02	$15.85	$42.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,096.48	Facility		$812.83	$1,000.00	$1,096.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $17.78 / $21.88	Facility		$16.98	$17.78	$21.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.78 / $25.70	Professional		$15.49	$17.78	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $16.98 / $20.42	Facility		$9.55	$16.98	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $25.70	Professional		$7.24	$10.23	$25.70