Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $64.57 / $162.18	Facility		$22.39	$64.57	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $60.26	Professional		$12.02	$14.79	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.77 / $17.38	Professional		$8.13	$9.77	$17.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $114.82 / $5,011.87	Facility		$87.10	$114.82	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $15.49	Professional		$12.59	$12.59	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $25.12 / $56.23	Facility		$10.96	$25.12	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.20 / $28.84	Professional		$10.00	$18.20	$28.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $16.22 / $23.44	Professional		$7.59	$16.22	$23.44
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $28.18	Professional		$15.85	$18.20	$28.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $41.69 / $97.72	Facility		$22.91	$41.69	$97.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $15.49	Professional		$9.77	$9.77	$15.49
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $74.13 / $602.56	Facility		$47.86	$74.13	$602.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $64.57 / $169.82	Facility		$19.05	$64.57	$169.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $67.61	Professional		$12.02	$15.85	$67.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $229.09 / $275.42	Facility		$177.83	$229.09	$275.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $17.78 / $58.88	Facility		$6.61	$17.78	$58.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $16.60 / $58.88	Professional		$6.61	$16.60	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.22 / $19.50	Facility		$10.96	$16.22	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $12.02 / $28.18	Professional		$7.41	$12.02	$28.18