Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $1,202.26	Facility		$38.90	$38.90	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $83.18	Professional		$36.31	$39.81	$83.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $79.43	Professional		$35.48	$54.95	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $87.10	Professional		$38.90	$53.70	$87.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $57.54	Professional		$40.74	$52.48	$57.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $61.66	Professional		$33.88	$38.02	$61.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $1,258.93	Facility		$154.88	$154.88	$1,258.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $72.44 / $1,202.26	Facility		$38.90	$72.44	$1,202.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $109.65	Professional		$37.15	$47.86	$109.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $100.00	Professional		$77.62	$89.13	$100.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $316.23	Facility		$38.02	$38.02	$316.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $316.23	Professional		$38.02	$38.02	$316.23
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 $38.02 / $48.98 / $83.18	Professional		$38.02	$48.98	$83.18