Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $6.31 / $6.31	Facility		$3.02	$6.31	$6.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $7.08	Professional		$3.02	$5.01	$7.08
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 $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $5.01	Professional		$4.07	$4.07	$5.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $15.49	Professional		$7.59	$10.72	$15.49
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.75 / $8.13	Professional		$4.90	$5.75	$8.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $6.31	Facility		$3.02	$3.02	$6.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $7.59	Professional		$3.02	$5.01	$7.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $11.48 / $15.85	Professional		$0.60	$11.48	$15.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.24 / $7.59	Facility		$5.75	$7.24	$7.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.59 / $7.76	Professional		$7.24	$7.59	$7.76
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.39 / $5.37	Facility		$2.69	$3.39	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.98 / $7.41	Professional		$2.75	$3.98	$7.41