Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $1.41	Facility		$1.41	$1.41	$1.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $3.63	Professional		$1.00	$1.00	$3.63
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 $1.82 / $1.82 / $1.82	Professional		$1.82	$1.82	$1.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $2.88	Facility		$1.10	$1.10	$2.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $0.93 / $1.12	Professional		$0.93	$0.93	$1.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.40 / $3.47	Professional		$1.70	$2.40	$3.47
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Facility		$1.82	$1.82	$1.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.29 / $1.82	Professional		$1.10	$1.29	$1.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $1.41	Facility		$1.41	$1.41	$1.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Facility		$2.88	$2.88	$2.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $2.69 / $3.63	Professional		$0.60	$2.69	$3.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.66 / $2.14	Facility		$1.29	$1.66	$2.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.74 / $2.63	Professional		$1.29	$1.74	$2.63
United Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $0.83 / $1.15	Facility		$0.71	$0.83	$1.15
United Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.89 / $1.62	Professional		$0.62	$0.89	$1.62