Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $35.48 / $75.86	Facility		$11.22	$35.48	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $19.50	Professional		$6.03	$7.94	$19.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.37 / $8.91	Professional		$4.47	$5.37	$8.91
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $63.10 / $5,011.87	Facility		$46.77	$63.10	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $8.51	Professional		$6.92	$6.92	$8.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $14.13 / $30.20	Facility		$6.03	$14.13	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.00 / $15.49	Professional		$5.50	$10.00	$15.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $8.91 / $12.88	Professional		$4.17	$8.91	$12.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $15.49	Professional		$8.91	$10.00	$15.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $23.99 / $51.29	Facility		$13.49	$23.99	$51.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.03 / $7.59	Professional		$5.37	$6.03	$7.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $34.67 / $75.86	Facility		$9.33	$34.67	$75.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.13 / $31.62	Professional		$6.03	$8.13	$31.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $302.00 / $426.58	Facility		$295.12	$302.00	$426.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $9.77 / $9.77	Facility		$8.91	$9.77	$9.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.77 / $12.59	Professional		$8.91	$9.77	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $8.91 / $10.72	Facility		$6.03	$8.91	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.46 / $15.49	Professional		$3.98	$6.46	$15.49