Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $120.23 / $371.54	Facility		$23.99	$120.23	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $95.50	Professional		$19.95	$33.88	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $37.15	Professional		$18.62	$23.44	$37.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $42.66	Professional		$18.20	$21.38	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $758.58	Facility		$21.38	$21.38	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $46.77	Professional		$20.42	$28.18	$46.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $39.81	Professional		$20.42	$23.99	$39.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.18 / $47.86	Professional		$20.42	$28.18	$47.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $112.20 / $588.84	Facility		$79.43	$112.20	$588.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $33.11	Professional		$23.99	$29.51	$33.11
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.30 / $28.18	Professional		$25.12	$26.30	$28.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $57.54 / $371.54	Facility		$26.30	$57.54	$371.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $79.43	Professional		$19.95	$32.36	$79.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $48.98	Professional		$31.62	$38.90	$48.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $17.38 / $77.62	Facility		$11.48	$17.38	$77.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.95 / $77.62	Professional		$11.48	$19.95	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $44.67	Professional		$19.95	$27.54	$44.67