Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $28.84 / $1,949.84	Facility		$1.00	$28.84	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $5.01	Professional		$1.00	$1.00	$5.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.62 / $2.51	Professional		$1.17	$1.62	$2.51
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 $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $3.80	Facility		$1.51	$1.51	$3.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.58	Professional		$1.29	$1.29	$1.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.16 / $4.17	Professional		$2.00	$3.16	$4.17
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Facility		$2.45	$2.45	$2.45
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.48 / $2.45	Professional		$1.23	$1.48	$2.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $10.47	Facility		$9.55	$9.55	$10.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.74 / $2.40	Professional		$1.45	$1.74	$2.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $28.84 / $1,949.84	Facility		$1.00	$28.84	$1,949.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.24	Professional		$1.00	$1.00	$3.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $3.89 / $831.76	Facility		$1.58	$3.89	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.70 / $3.89	Professional		$1.58	$1.70	$3.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.74 / $2.29	Facility		$1.70	$1.74	$2.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.82 / $2.29	Professional		$1.58	$1.82	$2.29
United Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $1.15 / $1.62	Facility		$0.91	$1.15	$1.62
United Facility/Professional Professional Modifier Low / Median / High Price $0.83 / $1.20 / $2.45	Professional		$0.83	$1.20	$2.45