Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $33.88 / $64.57	Facility		$12.88	$33.88	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $30.90	Professional		$7.94	$10.00	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $7.94	Professional		$5.75	$5.75	$7.94
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $81.28 / $5,011.87	Facility		$61.66	$81.28	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $11.22	Professional		$8.91	$8.91	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $18.20 / $38.90	Facility		$7.76	$18.20	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $12.88 / $20.42	Professional		$6.92	$12.88	$20.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $10.23 / $16.60	Professional		$5.37	$10.23	$16.60
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.88 / $19.95	Professional		$11.48	$12.88	$19.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.18 / $64.57	Facility		$15.14	$28.18	$64.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $9.77	Professional		$6.92	$6.92	$9.77
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $33.11 / $67.61	Facility		$10.72	$33.11	$67.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.47 / $41.69	Professional		$7.94	$10.47	$41.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $302.00	Facility		$199.53	$199.53	$302.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $14.13 / $16.22	Facility		$11.48	$14.13	$16.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.13 / $52.48	Professional		$11.48	$14.13	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $11.48 / $13.80	Facility		$7.76	$11.48	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.51 / $19.95	Professional		$5.25	$8.51	$19.95