Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $66.07 / $213.80	Facility		$19.50	$66.07	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $93.33	Professional		$10.96	$13.80	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $107.15 / $5,011.87	Facility		$81.28	$107.15	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $13.49	Professional		$12.02	$12.02	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $23.44 / $52.48	Facility		$10.23	$23.44	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.38 / $26.92	Professional		$9.33	$17.38	$26.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $15.49 / $22.39	Professional		$7.24	$15.49	$22.39
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $26.30	Professional		$15.14	$16.98	$26.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $38.02 / $95.50	Facility		$20.89	$38.02	$95.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $12.88	Professional		$9.12	$9.12	$12.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $64.57 / $213.80	Facility		$17.38	$64.57	$213.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $63.10	Professional		$10.96	$15.14	$63.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $63.10 / $89.13	Facility		$61.66	$63.10	$89.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.20 / $20.42	Facility		$15.49	$18.20	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.20 / $20.42	Professional		$13.18	$18.20	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $15.49 / $18.20	Facility		$10.23	$15.49	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.22 / $26.92	Professional		$6.92	$11.22	$26.92