Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $19.95 / $53.70	Facility		$6.03	$19.95	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.47 / $30.20	Professional		$3.02	$4.47	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.31 / $5.25	Professional		$2.75	$3.31	$5.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $34.67 / $5,011.87	Facility		$26.30	$34.67	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $15.49	Professional		$3.89	$3.89	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $7.59 / $16.60	Facility		$3.39	$7.59	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.75 / $8.51	Professional		$3.02	$5.75	$8.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $4.90 / $7.24	Professional		$2.34	$4.90	$7.24
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Facility		$4.90	$4.90	$4.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.50 / $8.51	Professional		$4.79	$5.50	$8.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $12.88 / $29.51	Facility		$6.92	$12.88	$29.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $4.17	Professional		$2.95	$2.95	$4.17
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $5.01 / $10.47	Facility		$3.47	$5.01	$10.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $19.50 / $52.48	Facility		$5.75	$19.50	$52.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.90 / $20.42	Professional		$3.02	$4.90	$20.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,412.54	Facility		$1,000.00	$1,122.02	$1,412.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $32.36	Professional		$6.03	$6.03	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $4.90 / $5.89	Facility		$2.69	$4.90	$5.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.24 / $8.71	Professional		$2.09	$3.24	$8.71