Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $21.38 / $31.62	Facility		$10.47	$21.38	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $14.45	Professional		$10.00	$10.00	$14.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $11.22 / $5,011.87	Facility		$9.55	$11.22	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.72	Professional		$10.47	$10.47	$10.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.22 / $12.59	Professional		$10.47	$11.22	$12.59
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $10.47 / $17.78	Professional		$4.90	$10.47	$17.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $21.38 / $31.62	Facility		$10.47	$21.38	$31.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.47 / $17.38	Professional		$10.00	$10.47	$17.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $9.77 / $30.20	Professional		$0.60	$9.77	$30.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $12.02 / $12.02	Facility		$10.47	$12.02	$12.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.02 / $19.50	Professional		$10.47	$12.02	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.96 / $12.59	Professional		$10.23	$10.96	$12.59