Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $91.20 / $147.91	Facility		$40.74	$91.20	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $38.02	Professional		$19.95	$26.92	$38.02
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $54.95	Professional		$26.30	$26.30	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $51.29 / $114.82	Facility		$22.91	$51.29	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $74.13	Professional		$35.48	$45.71	$74.13
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $64.57	Professional		$25.12	$38.90	$64.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $87.10 / $141.25	Facility		$39.81	$87.10	$141.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $100.00	Professional		$19.95	$26.92	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $26.92 / $37.15	Facility		$12.59	$26.92	$37.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $26.92 / $33.88	Professional		$12.59	$26.92	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $40.74	Facility		$33.88	$33.88	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $42.66	Professional		$14.13	$20.42	$42.66