Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $51.29 / $91.20	Facility		$5.01	$51.29	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.30 / $33.88	Professional		$7.08	$12.30	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.76 / $25.70	Professional		$6.03	$6.76	$25.70
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 $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.20 / $26.92	Professional		$13.18	$18.20	$26.92
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.51 / $12.30	Professional		$7.41	$8.51	$12.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $83.18 / $117.49	Facility		$50.12	$83.18	$117.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $50.12 / $91.20	Facility		$5.01	$50.12	$91.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.22 / $28.84	Professional		$7.08	$11.22	$28.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $47.86	Facility		$19.50	$19.50	$47.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $18.62 / $23.99	Professional		$0.60	$18.62	$23.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $11.48 / $31.62	Facility		$7.08	$11.48	$31.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.48 / $31.62	Professional		$7.08	$11.48	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.03 / $10.23	Professional		$4.79	$6.03	$10.23