Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $117.49 / $186.21	Facility		$39.81	$117.49	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $114.82	Professional		$30.90	$38.02	$114.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $302.00 / $5,011.87	Facility		$229.09	$302.00	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $95.50	Professional		$33.11	$33.11	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $69.18 / $147.91	Facility		$39.81	$69.18	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $97.72	Professional		$25.70	$40.74	$97.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $56.23 / $81.28	Professional		$30.20	$56.23	$81.28
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $109.65	Professional		$44.67	$64.57	$109.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $112.20 / $190.55	Facility		$39.81	$112.20	$190.55
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $177.83	Professional		$32.36	$39.81	$177.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $91.20	Professional		$41.69	$46.77	$91.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $58.88 / $58.88	Facility		$56.23	$58.88	$58.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $58.88	Professional		$47.86	$58.88	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $51.29	Facility		$42.66	$42.66	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.70 / $60.26	Professional		$17.78	$25.70	$60.26