Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $56.23 / $67.61	Facility		$23.99	$56.23	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.91 / $28.18	Professional		$21.88	$22.91	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.75 / $11.75	Professional		$11.48	$11.75	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $85.11	Facility		$4.79	$4.79	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Professional		$6.31	$6.31	$6.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $36.31 / $67.61	Facility		$23.99	$36.31	$67.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.44 / $33.11	Professional		$21.88	$23.44	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $7.94	Facility		$6.92	$6.92	$7.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.92 / $8.51	Professional		$5.37	$6.92	$8.51
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.61 / $63.10	Professional		$3.47	$6.61	$63.10