Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $14.13	Facility		$9.33	$9.33	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $29.51 / $70.79	Professional		$15.85	$29.51	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.50 / $43.65	Professional		$17.78	$19.50	$43.65
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $123.03	Professional		$16.98	$19.95	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.38 / $46.77	Professional		$14.13	$21.38	$46.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $30.90	Professional		$22.39	$22.39	$30.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $26.92	Professional		$10.00	$10.00	$26.92
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.38 / $20.42	Professional		$16.22	$17.38	$20.42
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $31.62	Professional		$20.42	$20.42	$31.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $14.13	Facility		$9.33	$9.33	$14.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.99 / $57.54	Professional		$16.22	$23.99	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $18.62 / $30.20	Professional		$7.08	$18.62	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.50 / $38.90	Professional		$10.72	$19.50	$38.90