Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $56.23 / $100.00	Facility		$23.99	$56.23	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $40.74	Professional		$15.14	$19.05	$40.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $5,011.87	Facility		$107.15	$141.25	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $44.67	Professional		$17.78	$17.78	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $37.15 / $77.62	Facility		$18.62	$37.15	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $21.38 / $46.77	Professional		$12.30	$21.38	$46.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $29.51 / $43.65	Professional		$15.85	$29.51	$43.65
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $52.48	Professional		$22.39	$30.20	$52.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $47.86 / $53.70	Facility		$39.81	$47.86	$53.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $56.23 / $100.00	Facility		$23.99	$56.23	$100.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $74.13	Professional		$15.85	$22.91	$74.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $81.28	Professional		$22.39	$26.30	$81.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $25.12 / $27.54	Facility		$24.55	$25.12	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.12 / $27.54	Professional		$22.91	$25.12	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $27.54	Facility		$22.91	$22.91	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $34.67	Professional		$9.55	$13.80	$34.67