Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $15.85 / $38.90	Facility		$4.07	$15.85	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.63 / $25.12	Professional		$3.02	$3.63	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.40 / $3.98	Professional		$1.70	$2.40	$3.98
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $28.18 / $5,011.87	Facility		$21.38	$28.18	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $3.80	Professional		$3.09	$3.09	$3.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $6.03 / $13.49	Facility		$2.69	$6.03	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $4.57 / $7.24	Professional		$2.51	$4.57	$7.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $3.24 / $5.75	Professional		$1.86	$3.24	$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 / $4.47 / $6.92	Professional		$3.89	$4.47	$6.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $9.33 / $22.91	Facility		$5.50	$9.33	$22.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.63 / $3.98	Professional		$2.40	$2.63	$3.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $15.14 / $47.86	Facility		$3.39	$15.14	$47.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $16.60	Professional		$3.02	$3.98	$16.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $53.70 / $85.11	Facility		$51.29	$53.70	$85.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $3.72 / $4.07	Facility		$3.72	$3.72	$4.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.72 / $4.79	Professional		$2.95	$3.72	$4.79
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.98 / $4.79	Facility		$2.69	$3.98	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.95 / $6.92	Professional		$1.82	$2.95	$6.92