Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $97.72 / $213.80	Facility		$29.51	$97.72	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $134.90	Professional		$28.18	$32.36	$134.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $257.04 / $5,011.87	Facility		$194.98	$257.04	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $31.62	Professional		$28.84	$28.84	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $56.23 / $125.89	Facility		$24.55	$56.23	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $41.69 / $64.57	Professional		$22.39	$41.69	$64.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.38 / $52.48	Professional		$17.38	$21.38	$52.48
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $40.74 / $63.10	Professional		$35.48	$40.74	$63.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $75.86 / $158.49	Facility		$47.86	$75.86	$158.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $30.90	Professional		$21.88	$21.88	$30.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $97.72 / $223.87	Facility		$29.51	$97.72	$223.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $151.36	Professional		$26.92	$33.88	$151.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $131.83 / $186.21	Facility		$128.82	$131.83	$186.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $38.02 / $38.02	Facility		$36.31	$38.02	$38.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $74.13	Professional		$32.36	$38.02	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $36.31 / $43.65	Facility		$24.55	$36.31	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.92 / $63.10	Professional		$16.60	$26.92	$63.10