Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $51.29 / $112.20	Facility		$14.45	$51.29	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $77.62	Professional		$10.00	$11.75	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $8.91	Professional		$6.46	$7.76	$8.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $5,011.87	Facility		$67.61	$91.20	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $41.69	Professional		$10.00	$10.00	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $19.95 / $43.65	Facility		$8.71	$19.95	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.45 / $22.39	Professional		$8.13	$14.45	$22.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $18.62	Professional		$6.03	$7.59	$18.62
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.45 / $22.39	Professional		$12.59	$14.45	$22.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $35.48 / $79.43	Facility		$21.88	$35.48	$79.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $8.51 / $12.59	Professional		$7.76	$8.51	$12.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $48.98 / $112.20	Facility		$12.88	$48.98	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $53.70	Professional		$10.00	$12.88	$53.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $69.18	Facility		$54.95	$54.95	$69.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $14.13 / $16.98	Facility		$11.48	$14.13	$16.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.13 / $18.20	Professional		$11.48	$14.13	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $12.88 / $15.49	Facility		$8.71	$12.88	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $12.88 / $21.88	Professional		$6.46	$12.88	$21.88