Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $138.04 / $208.93	Facility		$26.92	$138.04	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $91.20	Professional		$23.44	$39.81	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.92 / $35.48	Professional		$22.39	$26.92	$35.48
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 $20.89 / $24.55 / $48.98	Professional		$20.89	$24.55	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $758.58	Facility		$38.90	$38.90	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $53.70	Professional		$22.91	$31.62	$53.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $46.77	Professional		$27.54	$35.48	$46.77
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $54.95	Professional		$23.44	$32.36	$54.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $416.87	Professional		$41.69	$57.54	$416.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $53.70 / $208.93	Facility		$30.90	$53.70	$208.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $79.43	Professional		$23.99	$38.90	$79.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $54.95	Professional		$35.48	$44.67	$54.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $23.44	Facility		$16.22	$16.22	$23.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.44 / $57.54	Professional		$16.22	$23.44	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $51.29	Professional		$22.91	$30.90	$51.29