Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $53.70	Facility		$22.91	$22.91	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $48.98 / $93.33	Professional		$22.91	$48.98	$93.33
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 $57.54 / $57.54 / $107.15	Professional		$57.54	$57.54	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $53.70 / $102.33	Professional		$28.18	$53.70	$102.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $91.20	Professional		$64.57	$83.18	$91.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $67.61 / $97.72	Professional		$33.11	$67.61	$97.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $53.70	Facility		$22.91	$22.91	$53.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $52.48 / $120.23	Professional		$25.12	$52.48	$120.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $125.89	Facility		$57.54	$57.54	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $112.20	Professional		$63.10	$81.28	$112.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $32.36 / $67.61	Facility		$17.38	$32.36	$67.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $31.62 / $67.61	Professional		$15.49	$31.62	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $489.78 / $3,890.45	Facility		$120.23	$489.78	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $51.29 / $87.10	Professional		$27.54	$51.29	$87.10