Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $44.67 / $93.33	Facility		$15.14	$44.67	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.55 / $37.15	Professional		$7.94	$9.55	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.61 / $10.72	Professional		$5.37	$6.61	$10.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $75.86 / $5,011.87	Facility		$56.23	$75.86	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $10.23	Professional		$8.32	$8.32	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $16.60 / $37.15	Facility		$7.24	$16.60	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $12.30 / $19.05	Professional		$6.61	$12.30	$19.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.23 / $15.49	Professional		$5.01	$10.23	$15.49
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $20.89	Facility		$10.72	$10.72	$20.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.02 / $18.62	Professional		$10.72	$12.02	$18.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $26.92 / $67.61	Facility		$14.79	$26.92	$67.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $9.12	Professional		$6.46	$6.46	$9.12
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $41.69 / $91.20	Facility		$11.48	$41.69	$91.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $44.67 / $95.50	Facility		$12.59	$44.67	$95.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $38.02	Professional		$7.94	$9.77	$38.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $204.17 / $309.03	Facility		$199.53	$204.17	$309.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $15.49 / $16.22	Facility		$10.72	$15.49	$16.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $16.22	Professional		$9.33	$13.18	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.72 / $12.88	Facility		$7.24	$10.72	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.41 / $18.20	Professional		$4.79	$7.41	$18.20