Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $93.33 / $281.84	Facility		$45.71	$93.33	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $104.71	Professional		$25.12	$32.36	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $24.55	Professional		$14.79	$17.38	$24.55
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 $66.07 / $83.18 / $251.19	Facility		$66.07	$83.18	$251.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $93.33 / $281.84	Facility		$41.69	$93.33	$281.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $117.49	Professional		$25.70	$38.02	$117.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $95.50 / $147.91	Facility		$91.20	$95.50	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $83.18	Professional		$48.98	$48.98	$83.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $44.67 / $50.12	Facility		$24.55	$44.67	$50.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $44.67 / $50.12	Professional		$24.55	$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