Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,818.38 / $11,748.98	Facility		$34.67	$2,818.38	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $10,000.00	Professional		$22.91	$33.11	$10,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.12 / $5,011.87	Facility		$21.38	$25.12	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $34.67	Professional		$20.89	$20.89	$34.67
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.69 / $75.86	Professional		$24.55	$41.69	$75.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $74.13 / $199.53	Facility		$56.23	$74.13	$199.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $32.36 / $33.88	Professional		$31.62	$32.36	$33.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $2,398.83 / $11,748.98	Facility		$28.84	$2,398.83	$11,748.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.30 / $5,623.41	Professional		$22.91	$26.30	$5,623.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $30.20 / $89.13	Professional		$0.60	$30.20	$89.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $37.15	Facility		$32.36	$32.36	$37.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $114.82	Professional		$26.92	$32.36	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $34.67	Professional		$23.99	$25.12	$34.67