Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $10.72 / $33.88	Facility		$3.80	$10.72	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $23.99	Professional		$2.00	$2.69	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $3.63 / $3.63	Professional		$1.51	$3.63	$3.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.89 / $5,011.87	Facility		$15.85	$20.89	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $9.33	Professional		$2.82	$2.82	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $5.50 / $12.30	Facility		$2.45	$5.50	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $3.80 / $5.75	Professional		$1.82	$3.80	$5.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.14 / $5.25	Professional		$1.70	$2.14	$5.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.63 / $6.31	Professional		$3.09	$3.63	$6.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $9.12 / $19.05	Facility		$6.61	$9.12	$19.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.40 / $3.02	Professional		$2.19	$2.40	$3.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $10.47 / $33.88	Facility		$3.80	$10.47	$33.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $15.14	Professional		$2.00	$3.02	$15.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $26.92	Facility		$16.98	$16.98	$26.92
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $5.62 / $5.62	Facility		$3.63	$5.62	$5.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $4.27 / $5.62	Professional		$0.72	$4.27	$5.62
United Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.63 / $4.37	Facility		$2.00	$3.63	$4.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.19 / $5.50	Professional		$1.51	$2.19	$5.50