Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $194.98 / $316.23	Facility		$61.66	$194.98	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $61.66 / $112.20	Professional		$19.95	$61.66	$112.20
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $144.54 / $5,011.87	Facility		$109.65	$144.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $117.49 / $218.78	Facility		$50.12	$117.49	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $35.48 / $107.15	Professional		$14.13	$35.48	$107.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $79.43 / $109.65	Professional		$25.12	$79.43	$109.65
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $64.57 / $131.83	Professional		$23.99	$64.57	$131.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $190.55 / $316.23	Facility		$57.54	$190.55	$316.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $64.57 / $190.55	Professional		$21.88	$64.57	$190.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $33.11 / $75.86	Facility		$29.51	$33.11	$75.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $75.86	Professional		$29.51	$33.11	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $75.86 / $91.20	Facility		$38.02	$75.86	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $41.69 / $95.50	Professional		$13.49	$41.69	$95.50