Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $104.71 / $288.40	Facility		$19.95	$104.71	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $45.71	Professional		$12.02	$12.88	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $9.33	Professional		$6.61	$6.61	$9.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.44 / $5,011.87	Facility		$19.95	$23.44	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $10.96	Professional		$9.33	$10.96	$10.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $42.66	Professional		$9.77	$9.77	$42.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $70.79 / $323.59	Facility		$10.23	$70.79	$323.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $104.71 / $288.40	Facility		$19.95	$104.71	$288.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.18 / $46.77	Professional		$12.02	$13.18	$46.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,162.28 / $4,365.16	Facility		$3,019.95	$3,162.28	$4,365.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $93.33 / $112.20	Professional		$0.60	$93.33	$112.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $14.79 / $37.15	Facility		$2.19	$14.79	$37.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $28.84 / $37.15	Professional		$2.19	$28.84	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $17.78	Professional		$12.88	$12.88	$17.78