Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $141.25 / $323.59	Facility		$50.12	$141.25	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $190.55	Professional		$26.92	$43.65	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.38 / $35.48	Professional		$9.55	$17.38	$35.48
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 / $57.54 / $120.23	Facility		$32.36	$57.54	$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 $51.29 / $93.33 / $199.53	Facility		$51.29	$93.33	$199.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $70.79	Professional		$41.69	$63.10	$70.79
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $134.90 / $302.00	Facility		$38.02	$134.90	$302.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $138.04 / $346.74	Facility		$45.71	$138.04	$346.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $144.54	Professional		$26.92	$44.67	$144.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $245.47 / $338.84	Facility		$234.42	$245.47	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $70.79	Professional		$35.48	$52.48	$70.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $47.86	Facility		$44.67	$44.67	$47.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $47.86	Professional		$31.62	$44.67	$47.86
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 / $48.98	Professional		$14.79	$20.89	$48.98