Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $7.76 / $933.25	Facility		$2.69	$7.76	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $173.78	Professional		$2.00	$2.69	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Professional		$2.69	$2.69	$2.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.88 / $5,011.87	Facility		$2.45	$2.88	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Facility		$2.69	$2.69	$2.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Professional		$2.69	$2.69	$2.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.34 / $2.75	Professional		$2.24	$2.34	$2.75
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Facility		$2.69	$2.69	$2.69
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $5.37 / $53.70	Professional		$2.69	$5.37	$53.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $66.07 / $190.55	Facility		$3.39	$66.07	$190.55
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.82 / $3.16	Professional		$2.75	$2.82	$3.16
Independence Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $4.07	Facility		$2.88	$2.88	$4.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $7.59 / $831.76	Facility		$2.69	$7.59	$831.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $69.18	Professional		$2.00	$2.69	$69.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $77.62 / $100.00	Professional		$0.60	$77.62	$100.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $10.47	Facility		$3.24	$3.24	$10.47
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $7.94 / $10.47	Professional		$3.24	$7.94	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Facility		$1.58	$1.58	$1.58
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.82 / $3.98	Professional		$2.69	$2.82	$3.98