Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $125.89 / $269.15	Facility		$45.71	$125.89	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $53.70	Professional		$28.18	$33.88	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $38.02	Professional		$19.95	$22.91	$38.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $263.03 / $5,011.87	Facility		$199.53	$263.03	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $35.48	Professional		$29.51	$29.51	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $58.88 / $128.82	Facility		$25.12	$58.88	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $66.07	Professional		$22.91	$42.66	$66.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $54.95	Professional		$16.22	$22.39	$54.95
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $66.07	Professional		$38.02	$41.69	$66.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $91.20 / $213.80	Facility		$51.29	$91.20	$213.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.12 / $36.31	Professional		$22.39	$25.12	$36.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $125.89 / $288.40	Facility		$41.69	$125.89	$288.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $134.90	Professional		$25.12	$34.67	$134.90
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 $33.88 / $38.02 / $51.29	Facility		$33.88	$38.02	$51.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $169.82	Professional		$33.11	$51.29	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.02 / $45.71	Facility		$25.12	$38.02	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $66.07	Professional		$16.98	$23.99	$66.07