Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $67.61 / $512.86	Facility		$20.89	$67.61	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $309.03	Professional		$10.96	$13.49	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.94 / $10.47	Professional		$7.59	$7.94	$10.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $104.71 / $5,011.87	Facility		$79.43	$104.71	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $14.13	Professional		$11.75	$11.75	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $22.91 / $51.29	Facility		$10.47	$22.91	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.98 / $26.30	Professional		$9.12	$16.98	$26.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $21.88	Professional		$7.08	$8.91	$21.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.60 / $25.70	Professional		$15.14	$16.60	$25.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.02 / $95.50	Facility		$19.95	$38.02	$95.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $14.45	Professional		$8.91	$11.22	$14.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $64.57 / $467.74	Facility		$19.50	$64.57	$467.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $91.20	Professional		$10.96	$14.13	$91.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $446.68 / $616.60	Facility		$426.58	$446.68	$616.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $16.60 / $16.60	Facility		$15.14	$16.60	$16.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $75.86	Professional		$15.14	$21.38	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.14 / $17.78	Facility		$10.00	$15.14	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.96 / $26.30	Professional		$6.76	$10.96	$26.30