Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $102.33 / $218.78	Facility		$45.71	$102.33	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $102.33	Professional		$19.95	$32.36	$102.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $5,011.87 / $57,543.99	Facility		$123.03	$5,011.87	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $31.62 / $53.70	Professional		$30.20	$31.62	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $66.07 / $208.93	Facility		$30.20	$66.07	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $60.26	Professional		$22.91	$35.48	$60.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $52.48	Professional		$32.36	$41.69	$52.48
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $63.10	Professional		$20.42	$33.88	$63.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $102.33 / $309.03	Facility		$40.74	$102.33	$309.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $95.50 / $229.09	Facility		$39.81	$95.50	$229.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $83.18	Professional		$23.99	$37.15	$83.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $58.88	Professional		$34.67	$46.77	$58.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.62 / $33.11	Facility		$15.49	$18.62	$33.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.62 / $38.90	Professional		$15.14	$18.62	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $234.42 / $309.03	Facility		$131.83	$234.42	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $52.48	Professional		$23.44	$30.90	$52.48