Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $107.15 / $173.78	Facility		$41.69	$107.15	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $97.72	Professional		$26.92	$33.11	$97.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $190.55 / $5,011.87	Facility		$141.25	$190.55	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $64.57	Professional		$30.90	$30.90	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $64.57 / $134.90	Facility		$38.02	$64.57	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $41.69 / $89.13	Professional		$18.62	$41.69	$89.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $51.29 / $74.13	Professional		$27.54	$51.29	$74.13
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $112.20	Professional		$42.66	$66.07	$112.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $107.15 / $165.96	Facility		$37.15	$107.15	$165.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $141.25	Professional		$28.84	$38.90	$141.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.90 / $91.20	Facility		$29.51	$38.90	$91.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $29.51 / $39.81	Professional		$8.71	$29.51	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $46.77	Facility		$38.90	$38.90	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $48.98	Professional		$16.60	$23.44	$48.98