Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $4.68 / $4.68	Facility		$2.00	$4.68	$4.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $5.13	Professional		$2.00	$3.02	$5.13
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 $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $9.55	Facility		$3.63	$3.63	$9.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $3.72	Professional		$3.09	$3.09	$3.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.94 / $11.48	Professional		$5.62	$7.94	$11.48
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Facility		$6.17	$6.17	$6.17
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.27 / $6.17	Professional		$3.63	$4.27	$6.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $4.68	Facility		$2.00	$2.00	$4.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $5.62	Professional		$2.00	$3.02	$5.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $8.13 / $11.75	Professional		$0.60	$8.13	$11.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $12.88	Facility		$4.27	$4.27	$12.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.75 / $6.31	Professional		$4.27	$5.75	$6.31
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.51 / $3.80	Facility		$2.04	$2.51	$3.80
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.02 / $5.37	Professional		$2.04	$3.02	$5.37