Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $93.33 / $147.91	Facility		$41.69	$93.33	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $67.61	Professional		$23.99	$28.84	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $245.47 / $5,011.87	Facility		$186.21	$245.47	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $79.43	Professional		$27.54	$27.54	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $56.23 / $120.23	Facility		$32.36	$56.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $79.43	Professional		$20.89	$33.88	$79.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $45.71 / $66.07	Professional		$24.55	$45.71	$66.07
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $89.13	Professional		$37.15	$52.48	$89.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $151.36	Facility		$138.04	$138.04	$151.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $91.20 / $154.88	Facility		$38.90	$91.20	$154.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $117.49	Professional		$25.70	$33.88	$117.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $512.86	Facility		$269.15	$269.15	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $44.67 / $50.12	Facility		$25.70	$44.67	$50.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $50.12	Professional		$25.70	$44.67	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $41.69	Facility		$35.48	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $54.95	Professional		$14.79	$20.89	$54.95