Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $70.79 / $70.79	Facility		$44.67	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $30.90	Professional		$7.94	$12.88	$30.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $125.89 / $134.90	Facility		$69.18	$125.89	$134.90
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $30.90 / $30.90	Facility		$28.84	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.14 / $34.67	Professional		$9.33	$15.14	$34.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $24.55 / $35.48	Professional		$12.88	$24.55	$35.48
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.39 / $40.74	Professional		$15.14	$22.39	$40.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $70.79 / $70.79	Facility		$44.67	$70.79	$70.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $54.95	Professional		$10.00	$14.13	$54.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $70.79	Professional		$24.55	$24.55	$70.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.49 / $21.38	Professional		$9.12	$15.49	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.85 / $30.20	Professional		$9.33	$15.85	$30.20