Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $102.33 / $208.93	Facility		$19.95	$102.33	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $38.02 / $112.20	Professional		$18.20	$38.02	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $30.20	Professional		$16.22	$22.39	$30.20
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 $15.85 / $18.62 / $50.12	Professional		$15.85	$18.62	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $758.58	Facility		$39.81	$39.81	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.84 / $48.98	Professional		$17.78	$28.84	$48.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $34.67	Professional		$20.42	$26.30	$34.67
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $27.54 / $50.12	Professional		$18.20	$27.54	$50.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.90 / $56.23	Professional		$18.62	$30.90	$56.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $48.98 / $208.93	Facility		$23.44	$48.98	$208.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.11 / $100.00	Professional		$18.20	$33.11	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $51.29	Professional		$28.84	$39.81	$51.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $17.78 / $74.13	Facility		$1.45	$17.78	$74.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $18.62 / $74.13	Professional		$1.45	$18.62	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.62 / $52.48	Professional		$21.88	$31.62	$52.48