Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.47 / $9.55	Facility		$2.00	$3.47	$9.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.98	Professional		$1.00	$2.00	$3.98
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 $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $7.08	Facility		$2.69	$2.69	$7.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Professional		$2.29	$2.29	$2.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.61 / $9.77	Professional		$4.79	$6.61	$9.77
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $4.57 / $4.57	Facility		$4.57	$4.57	$4.57
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.16 / $4.57	Professional		$2.69	$3.16	$4.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $9.55	Facility		$2.00	$2.00	$9.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $4.17	Professional		$1.00	$2.00	$4.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $6.31 / $8.71	Professional		$0.60	$6.31	$8.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $3.16 / $4.68	Facility		$0.81	$3.16	$4.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.27 / $4.68	Professional		$3.16	$4.27	$4.68
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.19 / $3.72	Professional		$1.74	$2.19	$3.72