Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $4.47	Facility		$3.02	$3.02	$4.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.98	Professional		$3.02	$3.02	$3.98
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $39.81	Facility		$7.94	$7.94	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $52.48	Professional		$25.12	$34.67	$52.48
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.60 / $27.54	Professional		$16.22	$16.60	$27.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $4.47	Facility		$3.02	$3.02	$4.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.47	Professional		$3.02	$3.02	$4.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $43.65 / $52.48	Professional		$0.60	$43.65	$52.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $24.55 / $25.70	Facility		$17.78	$24.55	$25.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.95 / $25.70	Professional		$17.38	$19.95	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.13 / $23.44	Professional		$10.47	$14.13	$23.44