Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $1,862.09	Facility		$19.95	$19.95	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $42.66	Professional		$16.98	$19.95	$42.66
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.05 / $41.69	Professional		$18.62	$19.05	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $575.44 / $1,445.44	Facility		$30.20	$575.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $54.95	Professional		$18.20	$32.36	$54.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $33.11	Professional		$16.98	$22.91	$33.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $27.54 / $41.69	Professional		$17.38	$27.54	$41.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.02 / $1,862.09	Facility		$19.95	$38.02	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $53.70	Professional		$16.98	$23.99	$53.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $46.77 / $74.13	Professional		$24.55	$46.77	$74.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $32.36 / $64.57	Facility		$18.62	$32.36	$64.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.05 / $64.57	Professional		$11.48	$19.05	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,071.52 / $1,318.26	Facility		$562.34	$1,071.52	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.44 / $41.69	Professional		$16.22	$23.44	$41.69