Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $39.81 / $91.20	Facility		$14.45	$39.81	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $48.98	Professional		$6.03	$7.24	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.79 / $13.18	Professional		$3.63	$4.79	$13.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $44.67 / $5,011.87	Facility		$33.88	$44.67	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Professional		$6.31	$6.31	$6.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $12.59 / $28.18	Facility		$5.62	$12.59	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $9.12 / $13.80	Professional		$5.13	$9.12	$13.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $8.13 / $11.75	Professional		$3.80	$8.13	$11.75
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.13 / $14.13	Professional		$6.76	$8.13	$14.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $20.42 / $46.77	Facility		$11.75	$20.42	$46.77
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.37 / $6.03	Professional		$4.79	$5.37	$6.03
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $24.55 / $54.95	Facility		$8.71	$24.55	$54.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $39.81 / $91.20	Facility		$12.02	$39.81	$91.20
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.13 / $33.11	Professional		$6.03	$8.13	$33.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $1,949.84	Facility		$1,047.13	$1,548.82	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.94 / $9.77	Professional		$6.92	$7.94	$9.77
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $8.13 / $9.77	Facility		$5.37	$8.13	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.37 / $12.02	Professional		$3.63	$5.37	$12.02