Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $63.10 / $691.83	Facility		$33.11	$63.10	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $165.96	Professional		$30.20	$60.26	$165.96
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 $64.57 / $67.61 / $67.61	Professional		$64.57	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $61.66 / $114.82	Professional		$33.11	$61.66	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $141.25	Professional		$83.18	$112.20	$141.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $70.79 / $114.82	Professional		$34.67	$70.79	$114.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $151.36	Professional		$39.81	$51.29	$151.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $63.10 / $691.83	Facility		$33.11	$63.10	$691.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $63.10 / $154.88	Professional		$32.36	$63.10	$154.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $125.89	Facility		$58.88	$58.88	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $144.54	Professional		$58.88	$74.13	$144.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $42.66 / $60.26	Facility		$1.00	$42.66	$60.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $51.29 / $64.57	Professional		$19.50	$51.29	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $758.58 / $3,890.45	Facility		$223.87	$758.58	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $97.72	Professional		$32.36	$56.23	$97.72