Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $39.81 / $61.66	Facility		$16.22	$39.81	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.22 / $37.15	Professional		$10.00	$11.22	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $97.72 / $5,011.87	Facility		$74.13	$97.72	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $13.80	Professional		$10.72	$10.72	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $21.38 / $46.77	Facility		$9.33	$21.38	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $15.85 / $23.99	Professional		$8.51	$15.85	$23.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.33 / $19.95	Professional		$6.46	$9.33	$19.95
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.49 / $23.99	Professional		$13.49	$15.49	$23.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $52.48 / $81.28	Facility		$33.88	$52.48	$81.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $38.02 / $61.66	Facility		$15.49	$38.02	$61.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $51.29	Professional		$10.00	$12.88	$51.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $46.77 / $66.07	Facility		$45.71	$46.77	$66.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $17.78 / $20.42	Facility		$12.30	$17.78	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.80 / $19.95	Professional		$10.47	$13.80	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $13.80 / $16.60	Facility		$9.33	$13.80	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.12 / $23.99	Professional		$6.31	$9.12	$23.99