Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $56.23 / $141.25	Facility		$20.89	$56.23	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $54.95	Professional		$12.02	$14.79	$54.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $95.50 / $5,011.87	Facility		$72.44	$95.50	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.18 / $63.10	Facility		$12.59	$28.18	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $17.78 / $28.18	Professional		$8.51	$17.78	$28.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $26.92	Professional		$8.71	$10.96	$26.92
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.62 / $32.36	Professional		$13.80	$18.62	$32.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $48.98 / $93.33	Facility		$27.54	$48.98	$93.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $14.13	Professional		$11.22	$11.22	$14.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $56.23 / $141.25	Facility		$16.60	$56.23	$141.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.85 / $61.66	Professional		$12.30	$15.85	$61.66
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.49 / $117.49	Facility		$14.13	$15.49	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.49 / $19.50	Professional		$14.13	$15.49	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $18.62 / $22.39	Facility		$10.23	$18.62	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $28.18	Professional		$7.76	$11.22	$28.18