Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $51.29 / $51.29	Facility		$32.36	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $66.07	Professional		$28.18	$41.69	$66.07
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 $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $107.15	Facility		$39.81	$39.81	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $40.74	Professional		$33.88	$33.88	$40.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $128.82	Professional		$63.10	$89.13	$128.82
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $67.61	Professional		$40.74	$47.86	$67.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $51.29	Facility		$32.36	$32.36	$51.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $66.07	Professional		$32.36	$41.69	$66.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $95.50 / $131.83	Professional		$0.60	$95.50	$131.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $47.86 / $70.79	Facility		$5.50	$47.86	$70.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $47.86 / $309.03	Professional		$5.50	$47.86	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $28.18 / $42.66	Facility		$22.39	$28.18	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $60.26	Professional		$22.91	$33.11	$60.26