Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $6.03 / $7.94	Facility		$3.98	$6.03	$7.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $8.91	Professional		$3.98	$6.03	$8.91
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 $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $16.22	Facility		$6.17	$6.17	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $5.25	Professional		$5.25	$5.25	$5.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $22.39	Professional		$10.96	$15.14	$22.39
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.75 / $10.47	Professional		$5.13	$5.75	$10.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $6.03 / $7.94	Facility		$3.98	$6.03	$7.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $10.96	Professional		$3.98	$6.03	$10.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $13.80 / $19.95	Professional		$0.60	$13.80	$19.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $7.24 / $9.77	Facility		$4.57	$7.24	$9.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.24 / $9.77	Professional		$4.68	$7.24	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.13 / $8.51	Professional		$3.98	$5.13	$8.51