Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $100.00 / $194.98	Facility		$35.48	$100.00	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $63.10	Professional		$19.95	$25.12	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $46.77	Professional		$12.59	$16.98	$46.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $199.53 / $5,011.87	Facility		$147.91	$199.53	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $26.30	Professional		$21.88	$21.88	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $43.65 / $95.50	Facility		$18.62	$43.65	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $31.62 / $48.98	Professional		$17.38	$31.62	$48.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $27.54 / $40.74	Professional		$13.18	$27.54	$40.74
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $31.62 / $48.98	Professional		$27.54	$31.62	$48.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $70.79 / $173.78	Facility		$38.90	$70.79	$173.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $26.92	Professional		$16.98	$16.98	$26.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $97.72 / $194.98	Facility		$29.51	$97.72	$194.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $100.00	Professional		$19.95	$25.70	$100.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,047.13	Facility		$660.69	$660.69	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $38.02 / $114.82	Facility		$12.88	$38.02	$114.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $38.02 / $114.82	Professional		$12.88	$38.02	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $28.18 / $33.88	Facility		$19.05	$28.18	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $48.98	Professional		$12.59	$18.20	$48.98