Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $21.88 / $22.91	Facility		$20.89	$21.88	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $75.86	Professional		$20.89	$26.92	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $30.90	Professional		$16.22	$19.50	$30.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $77,624.71	Facility		$8,511.38	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $42.66	Professional		$21.88	$25.70	$42.66
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 / $29.51 / $56.23	Professional		$22.39	$29.51	$56.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $53.70	Professional		$28.18	$37.15	$53.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $46.77	Professional		$25.12	$30.20	$46.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $26.92	Professional		$20.89	$26.30	$26.92
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $22.91	Facility		$20.89	$20.89	$22.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $64.57	Professional		$21.88	$30.20	$64.57
Optum Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.39 / $27.54	Professional		$13.80	$22.39	$27.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $56.23	Facility		$47.86	$47.86	$56.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $46.77 / $58.88	Professional		$25.70	$46.77	$58.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $23.44 / $33.11	Facility		$5.89	$23.44	$33.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $22.91 / $30.20	Professional		$7.76	$22.91	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $21.88 / $21.88	Facility		$19.95	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $45.71	Professional		$19.95	$27.54	$45.71