Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $50.12 / $109.65	Facility		$13.49	$50.12	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.48 / $45.71	Professional		$8.91	$11.48	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.59 / $20.89	Professional		$6.31	$7.59	$20.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $5,011.87	Facility		$67.61	$89.13	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $12.02	Professional		$10.00	$10.00	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $19.50 / $43.65	Facility		$8.51	$19.50	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.45 / $22.39	Professional		$7.76	$14.45	$22.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.59 / $18.62	Professional		$6.03	$12.59	$18.62
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.13 / $21.88	Professional		$12.59	$14.13	$21.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $31.62 / $79.43	Facility		$18.62	$31.62	$79.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.51 / $10.47	Professional		$7.59	$8.51	$10.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $50.12 / $117.49	Facility		$12.88	$50.12	$117.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $46.77	Professional		$8.91	$12.02	$46.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $1,023.29	Facility		$645.65	$660.69	$1,023.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $14.45 / $14.45	Facility		$12.88	$14.45	$14.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $14.45 / $18.20	Professional		$6.61	$14.45	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $12.88 / $15.14	Facility		$8.51	$12.88	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.32 / $22.39	Professional		$5.37	$8.32	$22.39