Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $8.91 / $19.95	Facility		$7.94	$8.91	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $14.45 / $28.18	Professional		$7.08	$14.45	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $24.55	Professional		$19.95	$19.95	$24.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $77,624.71	Facility		$8,511.38	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.44 / $37.15	Professional		$20.42	$23.44	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $2,089.30	Facility		$19.95	$19.95	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $51.29	Professional		$28.18	$36.31	$51.29
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $23.99 / $39.81	Professional		$9.77	$23.99	$39.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $19.95	Facility		$7.94	$7.94	$19.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $16.22 / $34.67	Professional		$7.41	$16.22	$34.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $47.86	Facility		$28.18	$28.18	$47.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $47.86	Professional		$28.18	$38.02	$47.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $16.60 / $26.30	Facility		$7.08	$16.60	$26.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $11.48 / $22.91	Professional		$4.90	$11.48	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $17.38 / $30.90	Professional		$7.76	$17.38	$30.90