Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $51.29 / $93.33	Facility		$18.20	$51.29	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $44.67	Professional		$10.96	$12.88	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
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 $10.00 / $23.44 / $51.29	Facility		$10.00	$23.44	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.38 / $26.30	Professional		$9.33	$17.38	$26.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.48 / $21.88	Professional		$7.08	$11.48	$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 / $16.98 / $26.30	Professional		$15.14	$16.98	$26.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $39.81 / $83.18	Facility		$20.42	$39.81	$83.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.22 / $14.45	Professional		$9.12	$11.22	$14.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $45.71 / $93.33	Facility		$15.85	$45.71	$93.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $56.23	Professional		$10.96	$14.13	$56.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $79.43	Facility		$56.23	$56.23	$79.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $19.95 / $22.91	Facility		$5.50	$19.95	$22.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.95 / $22.91	Professional		$13.18	$19.95	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.14 / $18.20	Facility		$10.00	$15.14	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.77 / $26.30	Professional		$6.76	$9.77	$26.30