Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $32.36	Facility		$21.88	$21.88	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $69.18	Professional		$18.20	$28.84	$69.18
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 $23.99 / $37.15 / $47.86	Professional		$23.99	$37.15	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $53.70	Professional		$19.95	$30.90	$53.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.01 / $45.71	Professional		$4.27	$5.01	$45.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $54.95	Professional		$25.12	$38.02	$54.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $32.36	Facility		$21.88	$21.88	$32.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $64.57	Professional		$19.95	$30.90	$64.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $70.79	Professional		$22.39	$22.39	$70.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $26.92 / $117.49	Facility		$14.45	$26.92	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $19.50 / $117.49	Professional		$5.01	$19.50	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $27.54 / $47.86	Professional		$18.62	$27.54	$47.86