Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.63 / $588.84	Facility		$1.00	$2.63	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.09	Professional		$1.00	$2.00	$3.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.74 / $2.40	Professional		$1.58	$1.74	$2.40
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 $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $5.50	Facility		$2.04	$2.04	$5.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.01 / $7.59	Professional		$3.63	$5.01	$7.59
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Facility		$3.47	$3.47	$3.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.95 / $3.47	Professional		$1.70	$1.95	$3.47
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $16.22	Facility		$5.25	$5.25	$16.22
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.00 / $588.84	Facility		$1.00	$2.00	$588.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.47	Professional		$1.00	$2.00	$3.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Facility		$5.50	$5.50	$5.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $4.57 / $6.76	Professional		$0.60	$4.57	$6.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $4.17	Facility		$2.40	$2.40	$4.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.17 / $66.07	Professional		$2.40	$4.17	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.70 / $2.82	Professional		$1.32	$1.70	$2.82