Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $53.70 / $309.03	Facility		$18.62	$53.70	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $95.50	Professional		$12.88	$19.05	$95.50
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 $18.20 / $18.62 / $28.84	Professional		$18.20	$18.62	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $41.69 / $123.03	Professional		$15.14	$41.69	$123.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.70 / $33.11	Professional		$23.99	$25.70	$33.11
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $51.29 / $134.90	Professional		$21.38	$51.29	$134.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $51.29 / $309.03	Facility		$18.62	$51.29	$309.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.88 / $95.50	Professional		$12.88	$21.88	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $89.13 / $186.21	Professional		$33.88	$89.13	$186.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.42 / $75.86	Facility		$16.60	$20.42	$75.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $20.42 / $87.10	Professional		$13.18	$20.42	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $102.33	Professional		$13.49	$20.89	$102.33