Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $58.88 / $125.89	Facility		$16.60	$58.88	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $30.20	Professional		$7.94	$12.02	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.03 / $19.50	Professional		$5.37	$6.03	$19.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $54.95 / $5,011.87	Facility		$41.69	$54.95	$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 $7.94 / $16.22 / $34.67	Facility		$7.94	$16.22	$34.67
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 / $6.92 / $17.38	Professional		$5.62	$6.92	$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 $8.71 / $10.23 / $20.89	Professional		$8.71	$10.23	$20.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.18 / $57.54	Facility		$15.14	$28.18	$57.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $10.00	Professional		$7.24	$7.24	$10.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $54.95 / $125.89	Facility		$16.22	$54.95	$125.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.75 / $33.88	Professional		$7.94	$11.75	$33.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $114.82 / $165.96	Facility		$109.65	$114.82	$165.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.72 / $14.13	Facility		$8.71	$10.72	$14.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.72 / $14.13	Professional		$8.71	$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 $4.79 / $7.24 / $17.38	Professional		$4.79	$7.24	$17.38