Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $38.90 / $64.57	Facility		$33.11	$38.90	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $58.88	Professional		$28.18	$38.90	$58.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $36.31 / $44.67 / $57.54	Professional	25	$36.31	$44.67	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $40.74	Professional		$30.90	$36.31	$40.74
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 $34.67 / $39.81 / $40.74	Professional		$34.67	$39.81	$40.74
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $34.67 / $40.74 / $79.43	Professional	50	$34.67	$40.74	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $67.61	Professional		$31.62	$42.66	$67.61
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $70.79	Professional		$43.65	$60.26	$70.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $35.48 / $58.88	Facility		$33.11	$35.48	$58.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $74.13	Professional		$31.62	$41.69	$74.13
Martin's Point Facility/Professional Professional Modifier 25 Low / Median / High Price $36.31 / $44.67 / $57.54	Professional	25	$36.31	$44.67	$57.54
Optum Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $54.95	Professional		$34.67	$42.66	$54.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $54.95	Professional		$34.67	$42.66	$54.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $28.18 / $45.71	Facility		$8.71	$28.18	$45.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $28.18 / $45.71	Professional		$8.71	$28.18	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $74.13	Professional		$37.15	$48.98	$74.13