Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $40.74 / $69.18	Facility		$34.67	$40.74	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $128.82	Professional		$38.02	$50.12	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $38.02	Professional		$26.92	$33.88	$38.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $44.67 / $5,011.87	Facility		$38.02	$44.67	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $144.54 / $165.96	Facility		$40.74	$144.54	$165.96
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $40.74 / $147.91	Facility		$34.67	$40.74	$147.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $131.83	Professional		$39.81	$50.12	$131.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $107.15 / $154.88	Facility		$25.70	$107.15	$154.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $38.02	Facility		$31.62	$31.62	$38.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $38.02	Professional		$31.62	$31.62	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $53.70	Professional		$39.81	$42.66	$53.70