Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $60.26 / $123.03	Facility		$21.38	$60.26	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $109.65	Professional		$15.14	$19.95	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.00 / $13.80	Professional		$8.51	$10.00	$13.80
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 / $44.67	Professional		$15.49	$15.49	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $32.36 / $67.61	Facility		$18.62	$32.36	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.05 / $44.67	Professional		$12.02	$19.05	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.30 / $38.02	Professional		$14.13	$26.30	$38.02
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 $20.89 / $30.20 / $51.29	Professional		$20.89	$30.20	$51.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $48.98 / $114.82	Facility		$31.62	$48.98	$114.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $60.26 / $125.89	Facility		$20.89	$60.26	$125.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $83.18	Professional		$15.14	$21.88	$83.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $354.81	Facility		$257.04	$257.04	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $89.13	Professional		$27.54	$27.54	$89.13
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 $19.95 / $19.95 / $23.99	Facility		$19.95	$19.95	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $31.62	Professional		$8.51	$12.02	$31.62