Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $151.36 / $630.96	Facility		$39.81	$151.36	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $46.77 / $162.18	Professional		$14.13	$46.77	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.91 / $10.72	Professional		$7.59	$8.91	$10.72
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 $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$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 $5.25 / $10.47 / $25.70	Professional		$5.25	$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 $17.78 / $19.95 / $30.90	Professional		$17.78	$19.95	$30.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $44.67 / $89.13	Facility		$24.55	$44.67	$89.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $11.75 / $15.85	Professional		$10.72	$11.75	$15.85
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $72.44 / $162.18	Facility		$19.50	$72.44	$162.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $147.91 / $645.65	Facility		$38.02	$147.91	$645.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $147.91	Professional		$14.13	$25.70	$147.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $281.84 / $467.74	Facility		$275.42	$281.84	$467.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $17.78	Facility		$16.22	$16.22	$17.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $16.22 / $18.20	Professional		$9.77	$16.22	$18.20
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 / $11.75 / $30.90	Professional		$8.13	$11.75	$30.90