Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $87.10 / $154.88	Facility		$28.84	$87.10	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $117.49	Professional		$22.39	$28.84	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $21.88	Professional		$20.42	$20.42	$21.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $223.87 / $5,011.87	Facility		$165.96	$223.87	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $30.90	Professional		$26.92	$26.92	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $51.29 / $117.49	Facility		$22.91	$51.29	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.90 / $54.95	Professional		$19.95	$38.90	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $48.98	Professional		$16.22	$19.95	$48.98
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $35.48 / $58.88	Professional		$30.90	$35.48	$58.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $81.28 / $186.21	Facility		$46.77	$81.28	$186.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $30.20	Professional		$20.42	$20.42	$30.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $85.11 / $154.88	Facility		$28.84	$85.11	$154.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $120.23	Professional		$22.91	$30.20	$120.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $169.82	Facility		$89.13	$89.13	$169.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $33.88	Facility		$32.36	$32.36	$33.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $32.36 / $40.74	Professional		$1.78	$32.36	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $33.88 / $40.74	Facility		$21.38	$33.88	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.44 / $54.95	Professional		$15.49	$23.44	$54.95