Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $30.20 / $1,071.52	Facility		$18.20	$30.20	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $30.20 / $64.57	Professional		$16.22	$30.20	$64.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $53.70	Professional		$28.84	$30.20	$53.70
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $43.65 / $44.67 / $79.43	Professional	50	$43.65	$44.67	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $69.18	Professional		$19.05	$36.31	$69.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $58.88	Professional		$33.88	$46.77	$58.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $85.11	Professional		$28.84	$42.66	$85.11
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $51.29 / $51.29 / $51.29	Professional	50	$51.29	$51.29	$51.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $30.20 / $1,071.52	Facility		$18.20	$30.20	$1,071.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $35.48 / $79.43	Professional		$18.20	$35.48	$79.43
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $69.18	Facility		$61.66	$61.66	$69.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $107.15	Professional		$54.95	$72.44	$107.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $42.66 / $70.79	Facility		$17.78	$42.66	$70.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $35.48 / $74.13	Professional		$13.18	$35.48	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $524.81 / $3,890.45	Facility		$162.18	$524.81	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $63.10	Professional		$19.05	$33.88	$63.10