Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.00 / $12.59	Facility		$7.94	$10.00	$12.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.00 / $14.45	Professional		$6.03	$10.00	$14.45
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 $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $25.70	Facility		$10.00	$10.00	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $30.90	Professional		$15.14	$20.89	$30.90
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.00 / $16.60	Professional		$8.13	$10.00	$16.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.00 / $12.59	Facility		$7.94	$10.00	$12.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.00 / $17.78	Professional		$6.03	$10.00	$17.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $26.30	Facility		$7.08	$7.08	$26.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $26.30	Professional		$5.75	$5.75	$26.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $15.49	Facility		$11.75	$11.75	$15.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.18 / $16.22	Professional		$8.51	$13.18	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.13 / $13.49	Professional		$6.31	$8.13	$13.49