Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $61.66 / $151.36	Facility		$22.39	$61.66	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $67.61	Professional		$12.02	$14.13	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.94 / $10.47	Professional		$5.89	$7.94	$10.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $102.33 / $5,011.87	Facility		$77.62	$102.33	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $14.13	Professional		$11.75	$11.75	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $23.44 / $51.29	Facility		$10.47	$23.44	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.98 / $26.30	Professional		$9.12	$16.98	$26.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.59 / $21.88	Professional		$7.08	$12.59	$21.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $26.30	Professional		$14.13	$16.22	$26.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $39.81 / $87.10	Facility		$21.88	$39.81	$87.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.00 / $15.49	Professional		$9.12	$10.00	$15.49
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $52.48 / $117.49	Facility		$16.22	$52.48	$117.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $61.66 / $154.88	Facility		$19.50	$61.66	$154.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.78 / $61.66	Professional		$11.22	$17.78	$61.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $436.52 / $1,047.13	Facility		$20.89	$436.52	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.79 / $19.50	Facility		$9.33	$14.79	$19.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.79 / $19.50	Professional		$9.33	$14.79	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.14 / $18.20	Facility		$10.00	$15.14	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $25.70	Professional		$9.12	$15.14	$25.70