Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $138.04 / $234.42	Facility		$50.12	$138.04	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $89.13	Professional		$26.92	$42.66	$89.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $245.47 / $5,011.87	Facility		$186.21	$245.47	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $77.62	Professional		$41.69	$41.69	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $83.18 / $181.97	Facility		$35.48	$83.18	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.69 / $81.28	Professional		$21.88	$41.69	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $70.79 / $102.33	Professional		$37.15	$70.79	$102.33
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $117.49	Professional		$38.90	$61.66	$117.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $134.90 / $234.42	Facility		$50.12	$134.90	$234.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $190.55	Professional		$28.18	$47.86	$190.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $114.82	Professional		$52.48	$57.54	$114.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $53.70	Facility		$45.71	$45.71	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $53.70	Professional		$45.71	$45.71	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $64.57	Facility		$53.70	$53.70	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $67.61	Professional		$22.39	$32.36	$67.61