Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $52.48 / $83.18	Facility		$21.38	$52.48	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $36.31	Professional		$14.13	$18.20	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $10.00	Professional		$8.51	$8.51	$10.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $5,011.87	Facility		$107.15	$141.25	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $19.95	Professional		$15.49	$15.49	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $30.90 / $67.61	Facility		$13.49	$30.90	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.38 / $44.67	Professional		$12.02	$21.38	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $22.91 / $28.84	Professional		$9.33	$22.91	$28.84
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $46.77	Professional		$19.95	$28.18	$46.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $97.72 / $186.21	Facility		$45.71	$97.72	$186.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $52.48 / $87.10	Facility		$18.62	$52.48	$87.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.62 / $70.79	Professional		$14.13	$18.62	$70.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.12 / $27.54	Facility		$20.42	$25.12	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $27.54	Professional		$20.42	$25.12	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.95 / $23.99	Facility		$13.49	$19.95	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $30.20	Professional		$8.51	$12.02	$30.20