Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $67.61 / $117.49	Facility		$28.84	$67.61	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $58.88	Professional		$18.20	$21.88	$58.88
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 $21.88 / $35.48 / $40.74	Professional		$21.88	$35.48	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $37.15	Professional		$18.20	$22.91	$37.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $36.31	Professional		$25.70	$33.11	$36.31
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $60.26	Professional		$19.50	$26.92	$60.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $63.10 / $117.49	Facility		$28.84	$63.10	$117.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $75.86	Professional		$19.05	$23.99	$75.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $20.42 / $21.88	Facility		$19.95	$20.42	$21.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $21.88	Professional		$16.60	$20.42	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $40.74	Professional		$16.98	$22.91	$40.74