Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $144.54 / $208.93	Facility		$28.18	$144.54	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $89.13	Professional		$22.91	$33.88	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $37.15	Professional		$21.88	$24.55	$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 $21.88 / $25.70 / $43.65	Professional		$21.88	$25.70	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $54.95	Professional		$23.99	$32.36	$54.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.02 / $48.98	Professional		$29.51	$38.02	$48.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $53.70	Professional		$25.12	$33.88	$53.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $44.67	Professional		$35.48	$35.48	$44.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $69.18 / $208.93	Facility		$32.36	$69.18	$208.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $36.31 / $77.62	Professional		$23.44	$36.31	$77.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $57.54	Professional		$29.51	$45.71	$57.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $24.55 / $77.62	Facility		$11.48	$24.55	$77.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $23.99 / $77.62	Professional		$11.48	$23.99	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $51.29	Professional		$23.99	$32.36	$51.29