Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $114.82 / $114.82	Facility		$69.18	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $21.88 / $53.70	Professional		$7.94	$21.88	$53.70
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 $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $46.77 / $46.77	Facility		$44.67	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $13.49 / $31.62	Professional		$6.61	$13.49	$31.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $36.31 / $52.48	Professional		$19.50	$36.31	$52.48
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $27.54 / $48.98	Professional		$11.75	$27.54	$48.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $114.82 / $114.82	Facility		$69.18	$114.82	$114.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.88 / $57.54	Professional		$10.00	$21.88	$57.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $27.54	Professional		$12.59	$15.14	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $26.30 / $38.90	Professional		$9.33	$26.30	$38.90