Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $151.36 / $309.03	Facility		$54.95	$151.36	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $229.09	Professional		$32.36	$39.81	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $42.66	Professional		$19.05	$19.05	$42.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $302.00 / $5,011.87	Facility		$229.09	$302.00	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $95.50	Professional		$33.11	$33.11	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $70.79 / $147.91	Facility		$39.81	$70.79	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $97.72	Professional		$25.70	$40.74	$97.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $56.23 / $81.28	Professional		$30.20	$56.23	$81.28
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $109.65	Professional		$44.67	$64.57	$109.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $109.65 / $218.78	Facility		$51.29	$109.65	$218.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $151.36 / $309.03	Facility		$50.12	$151.36	$309.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $177.83	Professional		$32.36	$44.67	$177.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $363.08 / $562.34	Facility		$354.81	$363.08	$562.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $58.88 / $58.88	Facility		$56.23	$58.88	$58.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $58.88	Professional		$47.86	$58.88	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $51.29	Facility		$42.66	$42.66	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.70 / $63.10	Professional		$17.78	$25.70	$63.10