Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $128.82 / $204.17	Facility		$57.54	$128.82	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $53.70	Professional		$28.18	$38.02	$53.70
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $75.86 / $162.18	Facility		$45.71	$75.86	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $102.33	Professional		$48.98	$63.10	$102.33
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $56.23 / $89.13	Professional		$35.48	$56.23	$89.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $120.23 / $194.98	Facility		$54.95	$120.23	$194.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $138.04	Professional		$28.18	$38.02	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $51.29 / $104.71	Facility		$30.90	$51.29	$104.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $51.29 / $154.88	Professional		$7.76	$51.29	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $56.23	Facility		$46.77	$46.77	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $63.10	Professional		$19.95	$28.18	$63.10