Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $70.79 / $114.82	Facility		$24.55	$70.79	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $77.62	Professional		$19.05	$21.88	$77.62
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $181.97 / $5,011.87	Facility		$138.04	$181.97	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $58.88	Professional		$20.42	$20.42	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $42.66 / $89.13	Facility		$23.99	$42.66	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.12 / $60.26	Professional		$15.49	$25.12	$60.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.88 / $48.98	Professional		$18.20	$33.88	$48.98
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $83.18	Professional		$28.18	$39.81	$83.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $69.18 / $117.49	Facility		$24.55	$69.18	$117.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $107.15	Professional		$19.05	$23.99	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $26.30	Facility		$23.99	$23.99	$26.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.70 / $26.30	Professional		$23.99	$25.70	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $31.62	Facility		$26.30	$26.30	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $38.02	Professional		$10.96	$15.49	$38.02