Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $7.76 / $7.76	Facility		$3.98	$7.76	$7.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $8.91	Professional		$3.98	$6.03	$8.91
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 $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $15.85	Facility		$5.89	$5.89	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $6.31	Professional		$5.01	$5.01	$6.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $19.05	Professional		$7.08	$10.96	$19.05
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $10.00	Professional		$6.03	$7.08	$10.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $7.76	Facility		$3.98	$3.98	$7.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $9.33	Professional		$3.98	$6.03	$9.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $14.13 / $19.50	Professional		$0.60	$14.13	$19.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $7.08 / $9.33	Facility		$0.51	$7.08	$9.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.59 / $9.55	Professional		$7.08	$7.59	$9.55
United Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.17 / $6.31	Facility		$3.31	$4.17	$6.31
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.90 / $8.91	Professional		$3.39	$4.90	$8.91