Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $3.80 / $6.03	Facility		$2.09	$3.80	$6.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.95 / $3.80	Professional		$1.00	$1.95	$3.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $2.14 / $5,011.87	Facility		$1.82	$2.14	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Facility		$1.95	$1.95	$1.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.04	Professional		$1.95	$1.95	$2.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.91 / $2.14	Professional		$1.78	$1.91	$2.14
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Facility		$1.95	$1.95	$1.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.39 / $28.84	Professional		$1.95	$3.39	$28.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $1.70	Professional		$1.70	$1.70	$1.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.09 / $6.03	Facility		$2.00	$3.09	$6.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.80	Professional		$1.00	$2.00	$3.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Facility		$2.69	$2.69	$2.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $3.02 / $30.20	Professional		$0.60	$3.02	$30.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.78 / $2.45	Facility		$1.58	$1.78	$2.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.78 / $2.45	Professional		$1.35	$1.78	$2.45
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.09 / $2.51	Professional		$1.91	$2.09	$2.51