Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.55 / $1.55	Facility		$1.00	$1.55	$1.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $7.76	Professional		$1.00	$1.00	$7.76
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 $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Facility		$3.24	$3.24	$3.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.81 / $0.81	Professional		$0.81	$0.81	$0.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.95 / $4.47	Professional		$2.14	$2.95	$4.47
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.45 / $2.04	Professional		$1.23	$1.45	$2.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.55	Facility		$1.00	$1.00	$1.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.69	Professional		$1.00	$1.00	$2.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.31 / $3.31	Facility		$3.31	$3.31	$3.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $2.88 / $3.98	Professional		$0.60	$2.88	$3.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.70 / $2.14	Facility		$1.45	$1.70	$2.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.45 / $2.14	Professional		$1.41	$1.45	$2.14
United Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.00 / $1.66	Professional		$0.78	$1.00	$1.66