Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $54.95 / $147.91	Facility		$18.62	$54.95	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $44.67	Professional		$10.96	$12.88	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $10.00	Professional		$6.03	$7.08	$10.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $5,011.87	Facility		$75.86	$100.00	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $13.49	Professional		$10.96	$10.96	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $21.88 / $47.86	Facility		$9.77	$21.88	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $16.22 / $25.12	Professional		$8.71	$16.22	$25.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.32 / $20.42	Professional		$5.75	$8.32	$20.42
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.85 / $24.55	Professional		$13.80	$15.85	$24.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $36.31 / $87.10	Facility		$20.42	$36.31	$87.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $12.30	Professional		$8.51	$8.51	$12.30
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $60.26 / $131.83	Facility		$15.14	$60.26	$131.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $53.70 / $151.36	Facility		$16.60	$53.70	$151.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $50.12	Professional		$10.47	$12.88	$50.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $758.58 / $1,047.13	Facility		$741.31	$758.58	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.13 / $20.42	Facility		$12.59	$14.13	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.13 / $23.99	Professional		$12.59	$14.13	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $14.13 / $16.98	Facility		$9.55	$14.13	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.12 / $24.55	Professional		$6.31	$9.12	$24.55