Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $16.22 / $43.65	Facility		$5.13	$16.22	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.55 / $16.98	Professional		$3.02	$3.55	$16.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.34 / $4.17	Professional		$1.74	$2.34	$4.17
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $27.54 / $5,011.87	Facility		$20.89	$27.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $12.30	Professional		$3.09	$3.09	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $6.03 / $13.49	Facility		$2.63	$6.03	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $4.57 / $6.76	Professional		$2.51	$4.57	$6.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $3.98 / $5.75	Professional		$1.86	$3.98	$5.75
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.37 / $6.92	Professional		$3.89	$4.37	$6.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $9.55 / $21.38	Facility		$5.37	$9.55	$21.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $2.95	Professional		$2.34	$2.34	$2.95
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $190.55	Facility		$151.36	$151.36	$190.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $16.22 / $43.65	Facility		$4.68	$16.22	$43.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $14.45	Professional		$3.02	$3.98	$14.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,949.84 / $2,454.71	Facility		$1,047.13	$1,949.84	$2,454.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $5.37 / $6.61	Professional		$2.09	$5.37	$6.61
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $3.98 / $4.79	Facility		$2.63	$3.98	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.57 / $6.92	Professional		$1.78	$2.57	$6.92