Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $40.74 / $75.86	Facility		$21.88	$40.74	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $47.86	Professional		$18.20	$21.88	$47.86
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
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 $24.55 / $28.84 / $56.23	Professional		$24.55	$28.84	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $64.57 / $125.89	Facility		$50.12	$64.57	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.20 / $57.54	Professional		$17.78	$30.20	$57.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $81.28	Professional		$41.69	$51.29	$81.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $58.88	Professional		$30.20	$36.31	$58.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $40.74 / $75.86	Facility		$21.88	$40.74	$75.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $75.86	Professional		$19.05	$26.92	$75.86
Martin's Point Facility/Professional Professional Modifier CO Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $81.28	Professional		$22.39	$23.44	$81.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $15.49 / $30.90	Facility		$0.09	$15.49	$30.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $35.48	Professional		$12.30	$15.49	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $33.88 / $34.67	Facility		$30.90	$33.88	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $46.77	Professional		$24.55	$31.62	$46.77