Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $18.20 / $22.91	Facility		$14.13	$18.20	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $26.92	Professional		$12.02	$18.20	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $29.51	Professional		$20.42	$20.42	$29.51
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 $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $46.77	Facility		$17.78	$17.78	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $64.57	Professional		$31.62	$43.65	$64.57
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $30.20	Professional		$17.78	$20.89	$30.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $18.20 / $22.91	Facility		$14.13	$18.20	$22.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $18.20 / $32.36	Professional		$10.23	$18.20	$32.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $47.86 / $407.38	Facility		$10.00	$47.86	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $47.86	Professional		$10.00	$10.00	$47.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $20.89	Facility		$19.50	$19.50	$20.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $20.89	Professional		$19.50	$19.50	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.79 / $24.55	Professional		$11.48	$14.79	$24.55