Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $74.13 / $158.49	Facility		$23.99	$74.13	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $74.13	Professional		$13.80	$16.60	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.72 / $12.88	Professional		$8.32	$10.72	$12.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $128.82 / $5,011.87	Facility		$97.72	$128.82	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $17.78	Professional		$14.45	$14.45	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $28.84 / $63.10	Facility		$12.88	$28.84	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $20.89 / $32.36	Professional		$11.75	$20.89	$32.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $18.62 / $26.92	Professional		$8.71	$18.62	$26.92
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $32.36	Professional		$18.20	$20.89	$32.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $47.86 / $107.15	Facility		$26.92	$47.86	$107.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $14.45	Professional		$11.22	$11.22	$14.45
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $87.10 / $389.05	Facility		$56.23	$87.10	$389.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $72.44 / $165.96	Facility		$21.38	$72.44	$165.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.62 / $69.18	Professional		$13.80	$18.62	$69.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $416.87 / $575.44	Facility		$398.11	$416.87	$575.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $26.30	Professional		$16.98	$16.98	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.62 / $22.39	Facility		$12.30	$18.62	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.02 / $32.36	Professional		$7.76	$12.02	$32.36