Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $5.13 / $5.13	Facility		$3.02	$5.13	$5.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.98 / $6.03	Professional		$2.00	$3.98	$6.03
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 $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $9.77	Facility		$3.98	$3.98	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $4.07	Professional		$3.39	$3.39	$4.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.71 / $12.88	Professional		$6.17	$8.71	$12.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Facility		$6.76	$6.76	$6.76
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.07 / $6.76	Professional		$3.31	$4.07	$6.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $5.13	Facility		$3.02	$3.02	$5.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.98 / $6.17	Professional		$2.34	$3.98	$6.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $8.91 / $12.88	Professional		$0.60	$8.91	$12.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $6.31	Facility		$4.68	$4.68	$6.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.68 / $6.31	Professional		$4.57	$4.68	$6.31
United Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $3.02 / $4.17	Facility		$2.24	$3.02	$4.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.31 / $6.03	Professional		$2.19	$3.31	$6.03