Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $87.10	Facility		$42.66	$42.66	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $141.25	Professional		$39.81	$75.86	$141.25
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 $61.66 / $128.82 / $151.36	Professional		$61.66	$128.82	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $151.36	Professional		$43.65	$81.28	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $204.17	Professional		$117.49	$162.18	$204.17
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $162.18	Professional		$58.88	$107.15	$162.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $87.10	Facility		$42.66	$42.66	$87.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $85.11 / $194.98	Professional		$41.69	$85.11	$194.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $173.78	Facility		$154.88	$154.88	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $199.53	Professional		$87.10	$131.83	$199.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $51.29 / $83.18	Facility		$42.66	$51.29	$83.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $190.55	Professional		$33.88	$51.29	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $537.03 / $3,890.45	Facility		$194.98	$537.03	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $131.83	Professional		$41.69	$72.44	$131.83