Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $134.90 / $208.93	Facility		$26.92	$134.90	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $31.62 / $83.18	Professional		$21.38	$31.62	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $42.66	Professional		$19.05	$25.12	$42.66
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 $19.95 / $23.99 / $39.81	Professional		$19.95	$23.99	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $52.48	Professional		$22.39	$30.90	$52.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $44.67	Professional		$26.30	$33.88	$44.67
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $48.98	Professional		$23.44	$30.90	$48.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $54.95	Professional		$23.99	$26.30	$54.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $64.57 / $208.93	Facility		$30.90	$64.57	$208.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $72.44	Professional		$21.88	$32.36	$72.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $60.26	Professional		$26.92	$33.88	$60.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $26.92 / $53.70	Facility		$22.91	$26.92	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $22.39 / $53.70	Professional		$10.72	$22.39	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $50.12	Professional		$22.39	$30.90	$50.12