Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $95.50 / $213.80	Facility		$38.02	$95.50	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $95.50	Professional		$20.89	$26.92	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $29.51	Professional		$12.59	$14.79	$29.51
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $208.93 / $5,011.87	Facility		$154.88	$208.93	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $27.54	Professional		$22.91	$22.91	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $45.71 / $100.00	Facility		$20.42	$45.71	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.11 / $52.48	Professional		$18.20	$33.11	$52.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $29.51 / $42.66	Professional		$13.80	$29.51	$42.66
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $51.29	Professional		$28.84	$33.11	$51.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $77.62 / $169.82	Facility		$42.66	$77.62	$169.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $31.62	Professional		$17.78	$22.39	$31.62
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $125.89 / $275.42	Facility		$31.62	$125.89	$275.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $93.33 / $223.87	Facility		$34.67	$93.33	$223.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $104.71	Professional		$21.88	$29.51	$104.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $165.96 / $245.47	Facility		$158.49	$165.96	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $30.90 / $151.36	Facility		$29.51	$30.90	$151.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.90 / $151.36	Professional		$29.51	$30.90	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $29.51 / $35.48	Facility		$19.95	$29.51	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.38 / $51.29	Professional		$13.18	$21.38	$51.29