Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $44.67 / $501.19	Facility		$18.20	$44.67	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $501.19	Professional		$15.85	$23.99	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
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 $208.93 / $389.05 / $691.83	Professional		$208.93	$389.05	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $64.57 / $512.86	Professional		$10.47	$64.57	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $676.08	Professional		$478.63	$616.60	$676.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $1,047.13	Professional		$331.13	$436.52	$1,047.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $44.67 / $501.19	Facility		$18.20	$44.67	$501.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $44.67 / $660.69	Professional		$16.98	$44.67	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $72.44 / $426.58	Facility		$17.78	$72.44	$426.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $17.78 / $416.87	Professional		$10.23	$17.78	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $575.44 / $707.95	Facility		$302.00	$575.44	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $77.62 / $380.19	Professional		$15.85	$77.62	$380.19