Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $44.67 / $89.13	Facility		$16.22	$44.67	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.48 / $77.62	Professional		$8.91	$11.48	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.76 / $12.59	Professional		$7.59	$7.76	$12.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $89.13 / $5,011.87	Facility		$66.07	$89.13	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $12.02	Professional		$9.77	$9.77	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $19.50 / $42.66	Facility		$8.51	$19.50	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.13 / $21.88	Professional		$7.59	$14.13	$21.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $12.59 / $18.20	Professional		$5.89	$12.59	$18.20
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.13 / $21.88	Professional		$12.30	$14.13	$21.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $30.90 / $77.62	Facility		$17.38	$30.90	$77.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $10.72	Professional		$7.59	$7.59	$10.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $42.66 / $93.33	Facility		$14.79	$42.66	$93.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $52.48	Professional		$8.91	$12.59	$52.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $933.25 / $1,174.90	Facility		$467.74	$933.25	$1,174.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.59 / $15.85	Facility		$10.96	$12.59	$15.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.30 / $15.85	Professional		$10.96	$12.30	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $12.59 / $15.14	Facility		$8.51	$12.59	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.12 / $21.88	Professional		$5.62	$9.12	$21.88