Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $114.82 / $186.21	Facility		$41.69	$114.82	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $81.28	Professional		$28.18	$36.31	$81.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $213.80 / $5,011.87	Facility		$162.18	$213.80	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $74.13	Professional		$34.67	$34.67	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $74.13 / $154.88	Facility		$43.65	$74.13	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $47.86 / $102.33	Professional		$21.38	$47.86	$102.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $58.88 / $85.11	Professional		$31.62	$58.88	$85.11
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $128.82	Professional		$48.98	$75.86	$128.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $112.20 / $186.21	Facility		$41.69	$112.20	$186.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $165.96	Professional		$28.18	$40.74	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $39.81 / $54.95	Facility		$14.79	$39.81	$54.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $44.67 / $75.86	Professional		$14.79	$44.67	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $53.70	Facility		$44.67	$44.67	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $56.23	Professional		$19.05	$26.92	$56.23