Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $173.78 / $457.09	Facility		$38.02	$173.78	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $45.71 / $169.82	Professional		$19.05	$45.71	$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 / $120.23	Facility		$34.67	$64.57	$120.23
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 $35.48 / $162.18 / $457.09	Facility		$35.48	$162.18	$457.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $31.62 / $104.71	Professional		$19.05	$31.62	$104.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $204.17 / $309.03	Facility		$199.53	$204.17	$309.03
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 / $27.54 / $42.66	Professional		$19.05	$27.54	$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 $10.72 / $16.60 / $44.67	Professional		$10.72	$16.60	$44.67