Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $102.33 / $208.93	Facility		$31.62	$102.33	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $162.18	Professional		$19.95	$25.12	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $13.49 / $19.05	Professional		$7.08	$13.49	$19.05
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $5,011.87	Facility		$100.00	$134.90	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $23.44	Professional		$21.38	$21.38	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $41.69 / $93.33	Facility		$18.20	$41.69	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $30.90 / $46.77	Professional		$16.60	$30.90	$46.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $39.81	Professional		$12.88	$16.22	$39.81
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $46.77	Professional		$20.89	$26.92	$46.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $85.11 / $173.78	Facility		$42.66	$85.11	$173.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.78 / $21.88	Professional		$16.22	$17.78	$21.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $95.50 / $204.17	Facility		$25.70	$95.50	$204.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $112.20	Professional		$19.95	$26.92	$112.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $204.17 / $977.24	Facility		$162.18	$204.17	$977.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $26.92	Facility		$11.22	$11.22	$26.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $23.44 / $26.92	Professional		$11.22	$23.44	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.92 / $32.36	Facility		$15.14	$26.92	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $42.66	Professional		$11.48	$16.22	$42.66