Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $85.11 / $138.04	Facility		$29.51	$85.11	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $83.18	Professional		$16.98	$25.12	$83.18
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 $24.55 / $24.55 / $44.67	Professional		$24.55	$24.55	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $48.98 / $107.15	Facility		$20.89	$48.98	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $23.44 / $46.77	Professional		$12.59	$23.44	$46.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $40.74 / $58.88	Professional		$21.88	$40.74	$58.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $36.31 / $69.18	Professional		$22.39	$36.31	$69.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $77.62 / $138.04	Facility		$29.51	$77.62	$138.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $109.65	Professional		$18.20	$28.18	$109.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $27.54 / $27.54	Facility		$24.55	$27.54	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $27.54 / $42.66	Professional		$24.55	$27.54	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $37.15	Facility		$30.90	$30.90	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $38.90	Professional		$13.18	$18.62	$38.90