Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.99 / $32.36	Professional		$14.13	$23.99	$32.36
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 $2.69 / $2.82 / $4.57	Professional		$2.69	$2.82	$4.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $194.98	Professional		$40.74	$51.29	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $69.18	Professional		$42.66	$51.29	$69.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $5.25	Professional		$2.63	$2.63	$5.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.99 / $33.11	Professional		$14.13	$23.99	$33.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $138.04	Professional		$104.71	$117.49	$138.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $5.50 / $12.88	Facility		$2.24	$5.50	$12.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $8.91 / $12.88	Professional		$2.24	$8.91	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.63 / $33.88	Professional		$2.29	$3.63	$33.88