Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $50.12 / $158.49	Facility		$16.60	$50.12	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $17.78	Professional		$8.91	$11.22	$17.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $5,011.87	Facility		$67.61	$91.20	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $12.30	Professional		$10.00	$10.00	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $19.95 / $43.65	Facility		$8.71	$19.95	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.45 / $22.39	Professional		$7.94	$14.45	$22.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.59 / $18.62	Professional		$6.03	$12.59	$18.62
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.45 / $22.39	Professional		$12.59	$14.45	$22.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $33.88 / $81.28	Facility		$18.62	$33.88	$81.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $12.59	Professional		$7.76	$7.76	$12.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $50.12 / $154.88	Facility		$15.14	$50.12	$154.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $45.71	Professional		$8.91	$12.02	$45.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,090.30 / $6,606.93	Facility		$1,348.96	$3,090.30	$6,606.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $14.13 / $19.95	Facility		$12.88	$14.13	$19.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $77.62	Professional		$12.88	$14.13	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $12.88 / $15.49	Facility		$8.71	$12.88	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.32 / $22.39	Professional		$5.75	$8.32	$22.39