Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $104.71 / $169.82	Facility		$33.88	$104.71	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $120.23	Professional		$21.88	$33.11	$120.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $5,011.87	Facility		$95.50	$125.89	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $40.74	Professional		$31.62	$31.62	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $63.10 / $138.04	Facility		$27.54	$63.10	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $31.62 / $61.66	Professional		$16.98	$31.62	$61.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $53.70 / $77.62	Professional		$28.18	$53.70	$77.62
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $42.66 / $77.62	Professional		$20.42	$42.66	$77.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $66.07 / $72.44	Facility		$19.95	$66.07	$72.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $102.33 / $169.82	Facility		$33.88	$102.33	$169.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $144.54	Professional		$26.92	$36.31	$144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $93.33	Professional		$57.54	$57.54	$93.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $25.70 / $85.11	Facility		$18.62	$25.70	$85.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $85.11	Professional		$25.12	$40.74	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $48.98	Facility		$40.74	$40.74	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $40.74 / $70.79	Professional		$22.39	$40.74	$70.79