Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $53.70 / $134.90	Facility		$18.62	$53.70	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $64.57	Professional		$12.88	$15.85	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $18.20	Professional		$9.12	$9.12	$18.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $5,011.87	Facility		$95.50	$125.89	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $15.85	Professional		$14.13	$14.13	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $28.18 / $61.66	Facility		$12.02	$28.18	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.42 / $31.62	Professional		$11.22	$20.42	$31.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $18.20 / $26.30	Professional		$8.51	$18.20	$26.30
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.95 / $31.62	Professional		$17.78	$19.95	$31.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $36.31 / $112.20	Facility		$15.14	$36.31	$112.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $15.49	Professional		$10.96	$12.02	$15.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $53.70 / $134.90	Facility		$15.14	$53.70	$134.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $66.07	Professional		$12.88	$18.20	$66.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $426.58 / $588.84	Facility		$407.38	$426.58	$588.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $25.12 / $26.30	Facility		$7.41	$25.12	$26.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $25.12 / $26.30	Professional		$7.41	$25.12	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $18.20 / $21.88	Facility		$12.02	$18.20	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.59 / $31.62	Professional		$8.13	$12.59	$31.62