Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $85.11 / $165.96	Facility		$30.20	$85.11	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $38.90	Professional		$18.20	$21.88	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $17.78	Professional		$10.72	$13.49	$17.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $177.83 / $5,011.87	Facility		$134.90	$177.83	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $24.55	Professional		$19.95	$19.95	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $39.81 / $87.10	Facility		$16.98	$39.81	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.84 / $44.67	Professional		$15.49	$28.84	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.70 / $37.15	Professional		$12.02	$25.70	$37.15
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $44.67	Professional		$25.12	$28.18	$44.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $64.57 / $123.03	Facility		$37.15	$64.57	$123.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $24.55	Professional		$15.14	$15.14	$24.55
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $100.00 / $223.87	Facility		$27.54	$100.00	$223.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $83.18 / $165.96	Facility		$26.92	$83.18	$165.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $81.28	Professional		$18.20	$22.91	$81.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $125.89 / $177.83	Facility		$123.03	$125.89	$177.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $27.54 / $27.54	Facility		$25.70	$27.54	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $27.54 / $41.69	Professional		$25.70	$27.54	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.70 / $30.90	Facility		$16.98	$25.70	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.60 / $44.67	Professional		$10.72	$16.60	$44.67