Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.69 / $2.69	Facility		$1.00	$2.69	$2.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.02	Professional		$1.00	$2.00	$3.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $3.39	Professional		$1.58	$1.58	$3.39
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 $3.47 / $3.47 / $3.47	Professional		$3.47	$3.47	$3.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $2.57	Facility		$2.09	$2.09	$2.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $2.45	Professional		$1.78	$1.78	$2.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.68 / $6.76	Professional		$3.31	$4.68	$6.76
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Facility		$3.55	$3.55	$3.55
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.51 / $3.55	Professional		$2.14	$2.51	$3.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.31 / $3.31	Professional		$2.45	$3.31	$3.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $2.69	Facility		$1.00	$1.00	$2.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.09	Professional		$1.00	$2.00	$3.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.20 / $5.62	Facility		$1.20	$1.20	$5.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $5.62	Professional		$1.20	$1.20	$5.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.95 / $66.07	Facility		$2.45	$2.95	$66.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.31 / $66.07	Professional		$2.45	$3.31	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.58 / $2.24	Facility		$1.17	$1.58	$2.24
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.74 / $3.55	Professional		$1.15	$1.74	$3.55