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 / $44.67	Professional		$7.94	$12.88	$44.67
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $97.72 / $104.71	Facility		$53.70	$97.72	$104.71
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 $6.61 / $12.59 / $25.70	Professional		$6.61	$12.59	$25.70
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 $11.75 / $20.42 / $40.74	Professional		$11.75	$20.42	$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 / $38.90	Professional		$10.00	$14.13	$38.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $39.81	Professional		$24.55	$24.55	$39.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.88 / $19.50	Professional		$7.59	$12.88	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.14 / $22.39	Professional		$8.32	$15.14	$22.39