Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $69.18 / $302.00	Facility		$42.66	$69.18	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $53.70 / $104.71	Professional		$28.84	$53.70	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $89.13	Professional		$41.69	$70.79	$89.13
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 $60.26 / $67.61 / $91.20	Professional		$60.26	$67.61	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $58.88	Professional		$43.65	$43.65	$58.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $173.78	Professional		$83.18	$117.49	$173.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $91.20	Professional		$54.95	$63.10	$91.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $63.10 / $213.80	Facility		$52.48	$63.10	$213.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $74.13	Professional		$61.66	$67.61	$74.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $69.18 / $302.00	Facility		$42.66	$69.18	$302.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $54.95 / $107.15	Professional		$28.84	$54.95	$107.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $144.54	Facility		$35.48	$35.48	$144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $144.54	Professional		$29.51	$29.51	$144.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $63.10 / $85.11	Facility		$57.54	$63.10	$85.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $63.10 / $100.00	Professional		$29.51	$63.10	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $63.10 / $67.61	Facility		$39.81	$63.10	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $79.43	Professional		$33.11	$45.71	$79.43