Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $204.17 / $512.86	Facility		$38.02	$204.17	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $44.67 / $169.82	Professional		$19.05	$44.67	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $25.70	Professional		$12.59	$15.14	$25.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $177.83 / $5,011.87	Facility		$134.90	$177.83	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $23.99	Professional		$19.95	$19.95	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $39.81 / $87.10	Facility		$16.98	$39.81	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.84 / $44.67	Professional		$15.49	$28.84	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.14 / $37.15	Professional		$7.94	$15.14	$37.15
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.18 / $43.65	Professional		$25.70	$28.18	$43.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $64.57 / $138.04	Facility		$34.67	$64.57	$138.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $24.55	Professional		$15.14	$16.98	$24.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $194.98 / $512.86	Facility		$36.31	$194.98	$512.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $104.71	Professional		$19.05	$30.20	$104.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $676.08 / $1,047.13	Facility		$660.69	$676.08	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $27.54 / $42.66	Facility		$19.05	$27.54	$42.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $42.66	Professional		$19.05	$26.30	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.70 / $30.20	Facility		$16.98	$25.70	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.62 / $44.67	Professional		$11.48	$18.62	$44.67