Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $54.95 / $1,862.09	Facility		$43.65	$54.95	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $120.23	Professional		$30.20	$53.70	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $69.18	Professional		$34.67	$38.02	$69.18
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 $39.81 / $58.88 / $77.62	Professional		$39.81	$58.88	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $72.44	Professional		$32.36	$45.71	$72.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $69.18	Professional		$35.48	$52.48	$69.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $61.66	Professional		$33.88	$46.77	$61.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $407.38	Professional		$42.66	$53.70	$407.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $54.95 / $1,862.09	Facility		$43.65	$54.95	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $53.70 / $117.49	Professional		$30.90	$53.70	$117.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $83.18	Facility		$53.70	$53.70	$83.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $93.33	Professional		$53.70	$66.07	$93.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $42.66	Facility		$6.61	$6.61	$42.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $25.12 / $42.66	Professional		$6.61	$25.12	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $69.18	Professional		$33.11	$44.67	$69.18