Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $74.13 / $257.04	Facility		$23.44	$74.13	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.85 / $79.43	Professional		$13.18	$15.85	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $17.78	Professional		$10.72	$10.72	$17.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $5,011.87	Facility		$95.50	$125.89	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $16.98	Professional		$13.80	$13.80	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $27.54 / $61.66	Facility		$12.02	$27.54	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.42 / $31.62	Professional		$10.96	$20.42	$31.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $25.70	Professional		$8.32	$10.47	$25.70
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.95 / $30.90	Professional		$17.38	$19.95	$30.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $45.71 / $112.20	Facility		$26.30	$45.71	$112.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $16.98	Professional		$10.72	$10.72	$16.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $74.13 / $257.04	Facility		$21.88	$74.13	$257.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.98 / $74.13	Professional		$13.18	$16.98	$74.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $831.76	Facility		$602.56	$602.56	$831.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.50 / $21.38	Facility		$15.85	$19.50	$21.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $21.38	Professional		$15.85	$19.50	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.78 / $21.38	Facility		$12.02	$17.78	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.18 / $30.90	Professional		$8.13	$13.18	$30.90