Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $85.11 / $245.47	Facility		$25.12	$85.11	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $64.57	Professional		$14.13	$20.42	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.96 / $18.20	Professional		$9.12	$10.96	$18.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $128.82 / $5,011.87	Facility		$95.50	$128.82	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $17.78	Professional		$14.13	$14.13	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $28.18 / $61.66	Facility		$12.02	$28.18	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.42 / $31.62	Professional		$11.22	$20.42	$31.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $18.20 / $26.30	Professional		$8.51	$18.20	$26.30
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $31.62	Professional		$18.20	$20.42	$31.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $45.71 / $97.72	Facility		$24.55	$45.71	$97.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $17.38	Professional		$10.96	$10.96	$17.38
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $72.44 / $158.49	Facility		$19.50	$72.44	$158.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $85.11 / $251.19	Facility		$25.12	$85.11	$251.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $74.13	Professional		$13.49	$20.89	$74.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $223.87 / $338.84	Facility		$218.78	$223.87	$338.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $18.20	Facility		$16.60	$16.60	$18.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $16.60 / $52.48	Professional		$4.37	$16.60	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.20 / $21.88	Facility		$12.30	$18.20	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.48 / $31.62	Professional		$7.59	$11.48	$31.62