Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $28.84 / $37.15	Facility		$26.92	$28.84	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $52.48	Professional		$23.99	$30.90	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $43.65	Professional		$23.99	$33.11	$43.65
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 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $79.43	Facility		$36.31	$36.31	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $134.90	Professional		$64.57	$89.13	$134.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $47.86	Professional		$38.02	$38.02	$47.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $30.90 / $34.67	Facility		$28.18	$30.90	$34.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $28.84 / $37.15	Facility		$26.92	$28.84	$37.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $51.29	Professional		$22.91	$30.90	$51.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $21.38 / $30.90	Professional		$0.60	$21.38	$30.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $45.71	Facility		$39.81	$39.81	$45.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $74.13	Professional		$29.51	$39.81	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $50.12	Professional		$23.44	$30.20	$50.12