Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $69.18 / $117.49	Facility		$28.84	$69.18	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $85.11	Professional		$16.98	$21.88	$85.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $5,011.87	Facility		$100.00	$134.90	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $42.66	Professional		$20.89	$20.89	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $41.69 / $91.20	Facility		$18.20	$41.69	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.39 / $43.65	Professional		$12.02	$22.39	$43.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $35.48 / $51.29	Professional		$19.05	$35.48	$51.29
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $60.26	Professional		$21.38	$32.36	$60.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $114.82 / $134.90	Facility		$41.69	$114.82	$134.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $67.61 / $120.23	Facility		$28.84	$67.61	$120.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $95.50	Professional		$18.20	$25.70	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $56.23	Professional		$38.02	$38.02	$56.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $26.92	Facility		$24.55	$24.55	$26.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.92 / $32.36	Professional		$24.55	$26.92	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $32.36	Facility		$26.92	$26.92	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $26.92 / $38.02	Professional		$13.80	$26.92	$38.02