Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $46.77 / $81.28	Facility		$18.20	$46.77	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $42.66	Professional		$12.88	$15.85	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $10.72	Professional		$9.12	$9.12	$10.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $112.20 / $5,011.87	Facility		$85.11	$112.20	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $15.14	Professional		$14.13	$14.13	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $26.30 / $61.66	Facility		$12.02	$26.30	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $26.30	Professional		$8.51	$10.72	$26.30
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $31.62	Professional		$15.49	$18.20	$31.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $44.67 / $85.11	Facility		$24.55	$44.67	$85.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.18 / $15.49	Professional		$10.72	$13.18	$15.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $45.71 / $81.28	Facility		$18.20	$45.71	$81.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $53.70	Professional		$12.88	$16.98	$53.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $10.96 / $20.42	Facility		$5.50	$10.96	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $11.75 / $87.10	Professional		$5.50	$11.75	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $18.20 / $21.88	Facility		$10.00	$18.20	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $27.54	Professional		$7.94	$12.02	$27.54