Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $79.43 / $213.80	Facility		$21.38	$79.43	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $72.44	Professional		$14.13	$17.78	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $32.36	Professional		$8.71	$12.02	$32.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $138.04 / $5,011.87	Facility		$104.71	$138.04	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $18.62	Professional		$15.14	$15.14	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $30.20 / $67.61	Facility		$13.18	$30.20	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.39 / $33.88	Professional		$12.30	$22.39	$33.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.48 / $28.18	Professional		$9.33	$11.48	$28.18
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.38 / $33.88	Professional		$16.60	$21.38	$33.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $52.48 / $151.36	Facility		$27.54	$52.48	$151.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $14.79	Professional		$11.75	$11.75	$14.79
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.12 / $54.95	Facility		$17.78	$25.12	$54.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $77.62 / $218.78	Facility		$19.50	$77.62	$218.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.78 / $72.44	Professional		$14.45	$17.78	$72.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $549.54 / $776.25	Facility		$537.03	$549.54	$776.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $31.62 / $47.86	Facility		$18.62	$31.62	$47.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $47.86	Professional		$15.85	$19.50	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.50 / $23.44	Facility		$13.18	$19.50	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $33.88	Professional		$8.91	$12.88	$33.88