Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.24 / $2.24	Facility		$1.00	$2.24	$2.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.00	Professional		$1.00	$1.00	$2.00
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 $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $4.57	Facility		$1.74	$1.74	$4.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $1.78	Professional		$1.48	$1.48	$1.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $3.24 / $5.62	Professional		$1.86	$3.24	$5.62
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Facility		$2.95	$2.95	$2.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.78 / $2.95	Professional		$1.45	$1.78	$2.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $2.24	Facility		$1.00	$1.00	$2.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.51	Professional		$1.00	$1.00	$2.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Facility		$4.68	$4.68	$4.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $3.89 / $5.75	Professional		$0.60	$3.89	$5.75
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.75	Facility		$2.04	$2.04	$2.75
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.75	Professional		$2.04	$2.04	$2.75
United Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $1.20 / $1.82	Facility		$0.98	$1.20	$1.82
United Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $1.45 / $2.57	Professional		$0.98	$1.45	$2.57