Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $53.70 / $165.96	Facility		$25.12	$53.70	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $181.97	Professional		$20.89	$28.84	$181.97
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	CQ	$204.17	$204.17	$204.17
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 $30.20 / $36.31 / $36.31	Professional		$30.20	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $72.44 / $125.89	Facility		$64.57	$72.44	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $35.48 / $67.61	Professional		$20.89	$35.48	$67.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $81.28	Professional		$34.67	$34.67	$81.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $42.66 / $85.11	Professional		$35.48	$42.66	$85.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $131.83	Facility		$57.54	$57.54	$131.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $30.20	Professional		$28.18	$28.18	$30.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $52.48 / $181.97	Facility		$25.70	$52.48	$181.97
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $100.00	Professional		$22.91	$33.11	$100.00
Martin's Point Facility/Professional Professional Modifier CQ Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	CQ	$204.17	$204.17	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $95.50	Professional		$31.62	$31.62	$95.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $28.84 / $43.65	Facility		$7.59	$28.84	$43.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $21.38 / $38.02	Professional		$7.59	$21.38	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $40.74 / $40.74	Facility		$37.15	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $54.95	Professional		$28.84	$37.15	$54.95