Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $134.90 / $223.87	Facility		$47.86	$134.90	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $100.00	Professional		$33.88	$42.66	$100.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $346.74 / $5,011.87	Facility		$263.03	$346.74	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $114.82	Professional		$39.81	$39.81	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $85.11 / $173.78	Facility		$46.77	$85.11	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $117.49	Professional		$30.90	$50.12	$117.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $97.72	Professional		$36.31	$67.61	$97.72
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $128.82	Professional		$53.70	$77.62	$128.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $134.90 / $223.87	Facility		$47.86	$134.90	$223.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $181.97	Professional		$38.02	$48.98	$181.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $54.95	Facility		$38.90	$38.90	$54.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $54.95	Professional		$38.90	$51.29	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $61.66	Facility		$51.29	$51.29	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $93.33	Professional		$21.38	$30.90	$93.33