Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $20.42 / $58.88	Facility		$6.46	$20.42	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.90 / $32.36	Professional		$3.89	$4.90	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.47 / $5.37	Professional		$2.51	$3.47	$5.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $35.48 / $5,011.87	Facility		$26.30	$35.48	$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 / $7.94 / $16.60	Facility		$3.39	$7.94	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.75 / $8.91	Professional		$3.09	$5.75	$8.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $5.01 / $7.24	Professional		$2.34	$5.01	$7.24
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $9.77	Facility		$5.01	$5.01	$9.77
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.62 / $8.71	Professional		$4.90	$5.62	$8.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $12.59 / $31.62	Facility		$7.41	$12.59	$31.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.01	Professional		$3.02	$3.02	$5.01
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $19.05 / $42.66	Facility		$5.37	$19.05	$42.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $19.95 / $60.26	Facility		$6.17	$19.95	$60.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.50 / $20.89	Professional		$3.72	$5.50	$20.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $1,862.09	Facility		$1,000.00	$1,513.56	$1,862.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $8.13 / $8.13	Professional		$3.72	$8.13	$8.13
United Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $5.01 / $6.03	Facility		$2.75	$5.01	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.24 / $8.71	Professional		$2.09	$3.24	$8.71