Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.09 / $4.47	Professional		$1.00	$2.09	$4.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $45.71 / $72.44	Professional		$1.02	$45.71	$72.44
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 $1.02 / $1.02 / $1.02	Professional		$1.02	$1.02	$1.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $1.62	Facility		$0.62	$0.62	$1.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.63	Professional		$0.52	$0.52	$0.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $1.26 / $1.82	Professional		$0.93	$1.26	$1.82
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.05 / $1.05	Facility		$1.05	$1.05	$1.05
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $1.05	Professional		$0.62	$0.62	$1.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.55 / $4.47	Professional		$1.00	$1.55	$4.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $2.40	Facility		$1.58	$1.58	$2.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1.51 / $2.00	Professional		$0.60	$1.51	$2.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.39 / $0.72 / $2.95	Facility		$0.39	$0.72	$2.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.98 / $2.95	Professional		$0.56	$0.98	$2.95
United Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.46 / $0.65	Facility		$0.34	$0.46	$0.65
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.51 / $0.85	Professional		$0.36	$0.51	$0.85