Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $34.67 / $6,025.60	Facility		$4.68	$34.67	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.40 / $6.46	Professional		$2.00	$2.40	$6.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.40 / $2.40	Professional		$1.78	$2.40	$2.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.57 / $5,011.87	Facility		$2.19	$2.57	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Professional		$2.45	$2.45	$2.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Facility		$2.40	$2.40	$2.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Facility		$2.40	$2.40	$2.40
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.17 / $4.17	Professional		$3.55	$4.17	$4.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $34.67 / $61.66	Facility		$10.00	$34.67	$61.66
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $398.11 / $537.03	Facility		$2.63	$398.11	$537.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $32.36 / $3,311.31	Facility		$4.37	$32.36	$3,311.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.57 / $7.24	Professional		$2.00	$2.57	$7.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $1,949.84	Facility		$1,445.44	$1,513.56	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $2.82 / $2.95	Facility		$1.55	$2.82	$2.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $2.82 / $2.95	Professional		$1.55	$2.82	$2.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $4.37	Professional		$2.40	$2.40	$4.37