Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $3.63	Facility		$2.00	$2.00	$3.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.98	Professional		$2.00	$2.00	$3.98
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 $4.68 / $4.68 / $4.68	Professional		$4.68	$4.68	$4.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $7.59	Facility		$2.82	$2.82	$7.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.92 / $10.47	Professional		$5.01	$6.92	$10.47
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.69 / $4.79	Professional		$2.34	$2.69	$4.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.05 / $23.99	Facility		$12.30	$19.05	$23.99
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.55 / $3.55	Professional		$3.16	$3.55	$3.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $3.63	Facility		$2.00	$2.00	$3.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.63 / $5.01	Professional		$1.45	$2.63	$5.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $7.59	Facility		$2.19	$2.19	$7.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $6.46 / $9.33	Professional		$0.60	$6.46	$9.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $4.47	Facility		$3.39	$3.39	$4.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $3.39 / $7.08	Professional		$1.91	$3.39	$7.08
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.34 / $3.89	Professional		$1.82	$2.34	$3.89