Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $64.57 / $95.50	Facility		$21.88	$64.57	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $25.12	Professional		$12.88	$15.85	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $17.78	Professional		$7.59	$10.72	$17.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $5,011.87	Facility		$95.50	$125.89	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$16.98
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 $5.89 / $10.72 / $26.30	Professional		$5.89	$10.72	$26.30
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.95 / $30.90	Professional		$17.78	$19.95	$30.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $47.86 / $89.13	Facility		$26.30	$47.86	$89.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $11.75 / $15.49	Professional		$10.72	$11.75	$15.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $60.26 / $95.50	Facility		$20.42	$60.26	$95.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $63.10	Professional		$12.88	$16.22	$63.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $213.80 / $302.00	Facility		$208.93	$213.80	$302.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.14 / $26.30	Facility		$13.49	$15.14	$26.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.78 / $28.84	Professional		$13.49	$17.78	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $17.78 / $21.38	Facility		$12.02	$17.78	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.59 / $30.90	Professional		$8.13	$12.59	$30.90