Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $58.88	Professional		$32.36	$36.31	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
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 $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $100.00	Facility		$40.74	$40.74	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $40.74	Professional		$34.67	$34.67	$40.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $97.72	Professional		$50.12	$69.18	$97.72
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $56.23	Professional		$33.88	$39.81	$56.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $74.13	Professional		$32.36	$38.02	$74.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $123.03 / $165.96	Professional		$0.60	$123.03	$165.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $58.88 / $173.78	Facility		$22.91	$58.88	$173.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $61.66 / $173.78	Professional		$22.91	$61.66	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $40.74 / $46.77	Facility		$32.36	$40.74	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $37.15 / $66.07	Professional		$20.42	$37.15	$66.07