Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $39.81 / $97.72	Facility		$10.00	$39.81	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $39.81	Professional		$7.08	$8.71	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.89 / $9.77	Professional		$4.90	$5.89	$9.77
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $67.61 / $5,011.87	Facility		$51.29	$67.61	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $9.12	Professional		$7.59	$7.59	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $15.14 / $33.88	Facility		$6.76	$15.14	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.96 / $16.98	Professional		$6.03	$10.96	$16.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $9.77 / $14.13	Professional		$4.57	$9.77	$14.13
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.96 / $16.98	Professional		$9.55	$10.96	$16.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $28.84 / $69.18	Facility		$16.22	$28.84	$69.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.46 / $15.85	Professional		$5.89	$6.46	$15.85
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $41.69 / $91.20	Facility		$10.47	$41.69	$91.20
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.61	Professional		$6.31	$6.31	$6.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $39.81 / $100.00	Facility		$9.77	$39.81	$100.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.77 / $38.02	Professional		$7.08	$9.77	$38.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $602.56 / $954.99	Facility		$588.84	$602.56	$954.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.02 / $13.80	Professional		$11.22	$12.02	$13.80
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $9.77 / $11.75	Facility		$5.37	$9.77	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.08 / $16.98	Professional		$4.37	$7.08	$16.98