Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.02 / $77.62	Facility		$19.95	$38.02	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $69.18	Professional		$22.39	$28.84	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $30.90	Professional		$18.20	$23.44	$30.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $24.55 / $5,011.87	Facility		$20.89	$24.55	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $40.74	Professional		$34.67	$40.74	$40.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $40.74 / $114.82	Facility		$15.49	$40.74	$114.82
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $27.54 / $27.54	Professional		$23.44	$27.54	$27.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $38.02 / $87.10	Facility		$17.38	$38.02	$87.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $69.18	Professional		$22.39	$27.54	$69.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $134.90 / $186.21	Facility		$117.49	$134.90	$186.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $26.92	Facility		$19.95	$19.95	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $22.39	Facility		$21.38	$21.38	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $31.62	Professional		$20.89	$25.12	$31.62