Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.80	Facility		$3.02	$3.02	$3.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
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 $21.88 / $22.39 / $22.39	Professional		$21.88	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $64.57	Facility		$10.00	$10.00	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.80	Facility		$3.02	$3.02	$3.80
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $67.61	Professional		$47.86	$47.86	$67.61