Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $34.67	Professional		$14.13	$15.85	$34.67
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $28.18	Professional		$14.79	$17.38	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $33.11	Professional		$15.14	$19.05	$33.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $34.67	Professional		$17.78	$23.99	$34.67
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.62 / $29.51	Professional		$15.49	$18.62	$29.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $45.71	Professional		$14.13	$18.20	$45.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $33.88	Facility		$16.60	$16.60	$33.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $33.88	Professional		$16.60	$26.30	$33.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $17.78	Facility		$16.60	$16.60	$17.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $17.78 / $64.57	Professional		$4.27	$17.78	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $27.54	Professional		$12.88	$16.22	$27.54