Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $33.11 / $97.72	Facility		$6.03	$33.11	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $18.20	Professional		$2.00	$2.69	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.78 / $2.24	Professional		$1.51	$1.78	$2.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.89 / $5,011.87	Facility		$15.85	$20.89	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $2.82	Professional		$2.34	$2.34	$2.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $4.47 / $10.00	Facility		$2.04	$4.47	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $3.47 / $5.13	Professional		$1.86	$3.47	$5.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $3.02 / $4.37	Professional		$1.41	$3.02	$4.37
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.63 / $5.25	Professional		$3.02	$3.63	$5.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $31.62 / $70.79	Facility		$13.49	$31.62	$70.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $3.02	Professional		$1.78	$1.78	$3.02
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.85 / $257.04	Facility		$10.47	$15.85	$257.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $35.48 / $97.72	Facility		$5.75	$35.48	$97.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $12.30	Professional		$2.00	$3.02	$12.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,187.76 / $2,691.53	Facility		$1,047.13	$2,187.76	$2,691.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $12.02 / $18.20	Facility		$4.17	$12.02	$18.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $7.24 / $18.20	Professional		$3.02	$7.24	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $83.18 / $131.83	Facility		$1.62	$83.18	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $2.19 / $6.03	Professional		$1.35	$2.19	$6.03