Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $141.25 / $141.25	Facility		$22.91	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $23.99	Professional		$15.85	$19.05	$23.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $38.02	Professional		$19.05	$22.91	$38.02
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Facility		$19.05	$19.05	$19.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $35.48	Professional		$15.49	$20.89	$35.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.90 / $141.25	Facility		$22.91	$30.90	$141.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $25.12	Professional		$15.85	$19.05	$25.12
Optum Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $9.12	Professional		$8.32	$8.32	$9.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $10.00	Professional		$1.86	$1.86	$10.00
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $125.89	Facility		$67.61	$100.00	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.85 / $44.67	Professional		$8.91	$15.85	$44.67