Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $57.54 / $141.25	Facility		$19.50	$57.54	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $50.12	Professional		$10.00	$12.02	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
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 $9.12 / $20.89 / $46.77	Facility		$9.12	$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 / $7.94 / $19.50	Professional		$6.46	$7.94	$19.50
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
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 $26.92 / $38.02 / $85.11	Facility		$26.92	$38.02	$85.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $11.48	Professional		$8.13	$8.13	$11.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $57.54 / $141.25	Facility		$15.85	$57.54	$141.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $51.29	Professional		$10.00	$12.02	$51.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $162.18 / $309.03	Facility		$154.88	$162.18	$309.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $13.49	Facility		$12.30	$12.30	$13.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $23.44	Professional		$12.02	$13.49	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $13.49 / $16.22	Facility		$9.12	$13.49	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.91 / $23.44	Professional		$5.75	$8.91	$23.44