Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $30.90 / $218.78	Facility		$3.09	$30.90	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $10.96 / $85.11	Professional		$2.00	$10.96	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.29 / $2.29	Professional		$2.09	$2.29	$2.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.29 / $5,011.87	Facility		$1.95	$2.29	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $2.09	Facility		$2.09	$2.09	$2.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $2.29	Professional		$2.09	$2.09	$2.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.34 / $2.95	Professional		$2.14	$2.34	$2.95
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $2.09	Facility		$2.09	$2.09	$2.09
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.95 / $6.31	Professional		$2.09	$2.95	$6.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $21.38 / $338.84	Facility		$4.90	$21.38	$338.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.50 / $5.75	Professional		$3.24	$5.50	$5.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $27.54 / $239.88	Facility		$2.69	$27.54	$239.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.51 / $47.86	Professional		$2.00	$2.51	$47.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Facility		$3.39	$3.39	$3.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $4.07 / $30.20	Professional		$0.60	$4.07	$30.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.95 / $2.63	Facility		$1.70	$1.95	$2.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $1.95 / $2.63	Professional		$1.66	$1.95	$2.63
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.24 / $11.48	Professional		$2.09	$2.24	$11.48