Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $69.18 / $104.71	Facility		$20.89	$69.18	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $79.43	Professional		$14.13	$15.85	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.30 / $17.78	Professional		$10.72	$12.30	$17.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $125.89 / $5,011.87	Facility		$93.33	$125.89	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $16.60	Professional		$13.80	$13.80	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $27.54 / $60.26	Facility		$12.02	$27.54	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $53.70	Professional		$16.98	$23.99	$53.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.48 / $25.70	Professional		$8.32	$11.48	$25.70
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.95 / $30.90	Professional		$17.38	$19.95	$30.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $44.67 / $97.72	Facility		$26.30	$44.67	$97.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $15.14	Professional		$10.72	$10.72	$15.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $67.61 / $112.20	Facility		$18.62	$67.61	$112.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.78 / $66.07	Professional		$13.18	$17.78	$66.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $199.53 / $316.23	Facility		$194.98	$199.53	$316.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $17.78 / $75.86	Facility		$5.89	$17.78	$75.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $17.78 / $70.79	Professional		$5.89	$17.78	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.78 / $21.38	Facility		$8.91	$17.78	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.72 / $30.90	Professional		$7.41	$10.72	$30.90