Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $165.96 / $346.74	Facility		$54.95	$165.96	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.69 / $61.66	Professional		$33.88	$41.69	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.84 / $46.77	Professional		$23.44	$28.84	$46.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $331.13 / $5,011.87	Facility		$251.19	$331.13	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $44.67	Professional		$36.31	$36.31	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $72.44 / $158.49	Facility		$31.62	$72.44	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $53.70 / $83.18	Professional		$28.84	$53.70	$83.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $46.77 / $67.61	Professional		$21.88	$46.77	$67.61
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $81.28	Professional		$46.77	$52.48	$81.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $112.20 / $275.42	Facility		$63.10	$112.20	$275.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $44.67	Professional		$28.18	$30.90	$44.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $144.54 / $354.81	Facility		$46.77	$144.54	$354.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $165.96	Professional		$31.62	$42.66	$165.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $398.11 / $616.60	Facility		$389.05	$398.11	$616.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $64.57 / $64.57	Facility		$46.77	$64.57	$64.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $64.57	Professional		$28.84	$46.77	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $56.23	Facility		$31.62	$46.77	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $31.62 / $81.28	Professional		$21.38	$31.62	$81.28