Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $19.95 / $61.66	Facility		$8.51	$19.95	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.18 / $61.66	Professional		$7.94	$13.18	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.18 / $17.78	Professional		$11.75	$13.18	$17.78
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 $12.88 / $15.49 / $27.54	Professional		$12.88	$15.49	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $75.86 / $125.89	Facility		$26.30	$75.86	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.49 / $22.91	Professional		$7.76	$13.49	$22.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $81.28	Professional		$34.67	$34.67	$81.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $21.88	Professional		$12.02	$16.22	$21.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $26.92	Facility		$20.89	$20.89	$26.92
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.00 / $10.72	Professional		$7.76	$10.00	$10.72
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.30 / $17.38	Professional		$9.12	$12.30	$17.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $18.20 / $61.66	Facility		$8.71	$18.20	$61.66
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.18 / $33.88	Professional		$8.13	$13.18	$33.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.42 / $32.36	Professional		$19.50	$20.42	$32.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $12.88 / $15.14	Facility		$3.55	$12.88	$15.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $13.49 / $15.14	Professional		$3.55	$13.49	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $20.42	Professional		$11.75	$14.13	$20.42