Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $35.48 / $67.61	Facility		$11.22	$35.48	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.23 / $26.92	Professional		$5.01	$10.23	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.27 / $13.18	Professional		$3.63	$4.27	$13.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $44.67 / $5,011.87	Facility		$33.11	$44.67	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $19.95	Professional		$6.76	$6.76	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $12.88 / $28.84	Facility		$5.75	$12.88	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $8.13 / $12.88	Professional		$4.07	$8.13	$12.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $5.13 / $12.59	Professional		$2.04	$5.13	$12.59
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.32 / $14.79	Professional		$6.61	$8.32	$14.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.84 / $60.26	Facility		$12.59	$28.84	$60.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.61 / $12.88	Professional		$5.13	$6.61	$12.88
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $891.25 / $1,174.90	Facility		$12.88	$891.25	$1,174.90
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $35.48 / $70.79	Facility		$10.00	$35.48	$70.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.77 / $25.70	Professional		$5.01	$9.77	$25.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $2,187.76	Facility		$1,000.00	$1,737.80	$2,187.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $9.55 / $11.22	Facility		$5.37	$9.55	$11.22
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.71 / $10.00	Professional		$5.37	$8.71	$10.00
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $8.71 / $10.23	Facility		$4.37	$8.71	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $8.32 / $12.02	Professional		$4.07	$8.32	$12.02