Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $54.95 / $141.25	Facility		$18.20	$54.95	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $46.77	Professional		$10.00	$12.02	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.76 / $13.49	Professional		$5.75	$6.76	$13.49
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 $10.72 / $10.72 / $12.88	Professional		$10.72	$10.72	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $20.89 / $46.77	Facility		$9.33	$20.89	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.14 / $23.44	Professional		$8.32	$15.14	$23.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.49 / $19.95	Professional		$6.46	$13.49	$19.95
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $26.30	Facility		$13.49	$13.49	$26.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $23.44	Professional		$13.18	$15.14	$23.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $38.02 / $85.11	Facility		$21.38	$38.02	$85.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $10.47	Professional		$8.13	$8.13	$10.47
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $58.88 / $131.83	Facility		$14.79	$58.88	$131.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $53.70 / $151.36	Facility		$15.49	$53.70	$151.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $50.12	Professional		$10.00	$13.49	$50.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $141.25 / $199.53	Facility		$138.04	$141.25	$199.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $16.22 / $72.44	Facility		$12.02	$16.22	$72.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $72.44	Professional		$12.02	$13.49	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $13.49 / $16.22	Facility		$7.59	$13.49	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.91 / $23.99	Professional		$6.17	$8.91	$23.99