Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $47.86 / $169.82	Facility		$15.49	$47.86	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $29.51	Professional		$7.76	$10.96	$29.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $57.54 / $5,011.87	Facility		$43.65	$57.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $16.22 / $36.31	Facility		$8.13	$16.22	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $11.75 / $15.14	Professional		$5.50	$11.75	$15.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.08 / $17.38	Professional		$5.62	$7.08	$17.38
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.72 / $20.89	Professional		$9.12	$10.72	$20.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $30.20 / $70.79	Facility		$16.22	$30.20	$70.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.94 / $9.12	Professional		$7.24	$7.94	$9.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $46.77 / $165.96	Facility		$14.13	$46.77	$165.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $50.12	Professional		$7.94	$10.96	$50.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $446.68	Facility		$295.12	$295.12	$446.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.02 / $22.39	Facility		$9.12	$12.02	$22.39
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.72 / $14.13	Professional		$6.61	$10.72	$14.13
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $12.02 / $14.45	Facility		$6.61	$12.02	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $18.20	Professional		$5.01	$7.24	$18.20