Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $165.96 / $436.52	Facility		$45.71	$165.96	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $229.09	Professional		$25.70	$41.69	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $17.38	Professional		$14.79	$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 / $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 $48.98 / $91.20 / $229.09	Facility		$48.98	$91.20	$229.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $63.10	Professional		$39.81	$63.10	$63.10
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 $40.74 / $173.78 / $446.68	Facility		$40.74	$173.78	$446.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $144.54	Professional		$26.30	$41.69	$144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
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 / $56.23	Professional		$25.70	$44.67	$56.23
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