Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $23.99 / $147.91	Facility		$9.33	$23.99	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $16.22	Professional		$6.03	$7.08	$16.22
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $41.69 / $5,011.87	Facility		$31.62	$41.69	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $14.45 / $30.20	Facility		$7.59	$14.45	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.08 / $17.78	Professional		$4.57	$7.08	$17.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.71 / $15.14	Professional		$6.17	$8.71	$15.14
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.12 / $15.49	Professional		$6.31	$9.12	$15.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $22.91 / $51.29	Facility		$9.33	$22.91	$51.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.51 / $21.88	Professional		$6.03	$8.51	$21.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $151.36	Professional		$19.50	$19.50	$151.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $8.71	Facility		$6.31	$6.31	$8.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.91 / $13.49	Professional		$6.31	$8.91	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $10.47	Facility		$8.71	$8.71	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.01 / $9.55	Professional		$3.72	$5.01	$9.55