Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $83.18 / $123.03	Facility		$30.90	$83.18	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.44 / $56.23	Professional		$15.14	$23.44	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $190.55 / $199.53	Facility		$102.33	$190.55	$199.53
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $46.77	Facility		$33.88	$33.88	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $45.71	Professional		$12.02	$19.50	$45.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $26.30 / $38.90	Professional		$14.13	$26.30	$38.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $51.29	Professional		$21.38	$30.20	$51.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $43.65	Professional		$40.74	$40.74	$43.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $83.18 / $123.03	Facility		$30.90	$83.18	$123.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.44 / $63.10	Professional		$15.14	$23.44	$63.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $70.79	Professional		$28.84	$28.84	$70.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.42 / $28.84	Professional		$15.49	$20.42	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.42 / $33.88	Professional		$12.02	$20.42	$33.88