Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $177.83 / $288.40	Facility		$64.57	$177.83	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $125.89	Professional		$38.90	$54.95	$125.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $288.40 / $5,011.87	Facility		$213.80	$288.40	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $97.72	Professional		$53.70	$53.70	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $112.20 / $234.42	Facility		$67.61	$112.20	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $66.07 / $102.33	Professional		$27.54	$66.07	$102.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $89.13 / $128.82	Professional		$47.86	$89.13	$128.82
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $102.33 / $173.78	Professional		$57.54	$102.33	$173.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $169.82 / $288.40	Facility		$64.57	$169.82	$288.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $218.78	Professional		$38.90	$61.66	$218.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $60.26 / $66.07	Facility		$33.11	$60.26	$66.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $66.07 / $407.38	Professional		$33.11	$66.07	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $83.18	Facility		$69.18	$69.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $85.11	Professional		$28.84	$40.74	$85.11