Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $977.24	Facility		$26.92	$26.92	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $60.26	Professional		$25.12	$28.18	$60.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $57,543.99	Facility		$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $54.95	Professional		$24.55	$38.02	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $85.11	Professional		$27.54	$37.15	$85.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $40.74	Professional		$28.84	$37.15	$40.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $42.66	Professional		$23.99	$26.92	$42.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,174.90 / $1,258.93	Facility		$165.96	$1,174.90	$1,258.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $977.24	Facility		$26.92	$26.92	$977.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $75.86	Professional		$25.70	$33.11	$75.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $56.23	Facility		$37.15	$37.15	$56.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $61.66	Professional		$31.62	$31.62	$61.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $154.88	Facility		$26.30	$26.30	$154.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $154.88	Professional		$19.05	$26.30	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,071.52 / $3,890.45	Facility		$223.87	$1,071.52	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $57.54	Professional		$26.30	$33.88	$57.54