Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $16.98 / $79.43	Facility		$12.02	$16.98	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $60.26	Professional		$9.12	$15.14	$60.26
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 $9.33 / $9.77 / $9.77	Professional		$9.33	$9.77	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $134.90 / $144.54	Facility		$39.81	$134.90	$144.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $16.98 / $117.49	Facility		$12.02	$16.98	$117.49
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.13 / $21.88	Professional		$9.12	$14.13	$21.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,148.15 / $3,981.07	Facility		$467.74	$1,148.15	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $10.96 / $30.20	Professional		$0.60	$10.96	$30.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $33.88 / $53.70	Facility		$10.23	$33.88	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $33.88 / $173.78	Professional		$1.78	$33.88	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $26.30	Professional		$10.72	$13.49	$26.30