Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $58.88 / $147.91	Facility		$19.50	$58.88	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $54.95	Professional		$10.23	$12.88	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $5,011.87	Facility		$75.86	$100.00	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $14.13	Professional		$11.22	$11.22	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $21.88 / $48.98	Facility		$9.55	$21.88	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.22 / $25.12	Professional		$8.91	$16.22	$25.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $14.45 / $20.89	Professional		$6.76	$14.45	$20.89
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.22 / $25.12	Professional		$14.45	$16.22	$25.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $35.48 / $85.11	Facility		$19.50	$35.48	$85.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $14.13	Professional		$8.71	$8.71	$14.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $57.54 / $147.91	Facility		$15.85	$57.54	$147.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.80 / $57.54	Professional		$10.47	$13.80	$57.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $891.25 / $2,187.76	Facility		$691.83	$891.25	$2,187.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.88 / $15.85	Facility		$12.59	$12.88	$15.85
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $20.42	Professional		$12.02	$12.88	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $14.45 / $17.38	Facility		$9.55	$14.45	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.33 / $25.12	Professional		$6.03	$9.33	$25.12