Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $41.69 / $512.86	Facility		$25.70	$41.69	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.11 / $58.88	Professional		$17.38	$33.11	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $54.95	Professional		$38.90	$50.12	$54.95
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 $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $36.31	Professional		$26.30	$26.30	$36.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $104.71	Professional		$51.29	$72.44	$104.71
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $54.95	Professional		$29.51	$38.90	$54.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $131.83	Facility		$41.69	$48.98	$131.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $40.74 / $43.65	Professional		$38.02	$40.74	$43.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $41.69 / $512.86	Facility		$25.70	$41.69	$512.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.11 / $69.18	Professional		$16.98	$33.11	$69.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $87.10	Facility		$21.88	$21.88	$87.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $87.10	Professional		$18.20	$18.20	$87.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $38.90 / $51.29	Facility		$34.67	$38.90	$51.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $186.21	Professional		$38.90	$50.12	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $40.74 / $41.69	Facility		$26.30	$40.74	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $48.98	Professional		$20.42	$27.54	$48.98