Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $35.48 / $35.48	Facility		$21.88	$35.48	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $44.67	Professional		$19.05	$28.18	$44.67
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 $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $28.84	Professional		$21.38	$21.38	$28.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $87.10	Professional		$41.69	$60.26	$87.10
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $45.71	Professional		$27.54	$32.36	$45.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $35.48	Facility		$21.88	$21.88	$35.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $44.67	Professional		$19.05	$28.18	$44.67
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $61.66 / $89.13	Professional		$0.60	$61.66	$89.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $30.90 / $42.66	Facility		$11.48	$30.90	$42.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $30.90 / $42.66	Professional		$13.80	$30.90	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $32.36 / $33.88	Facility		$20.89	$32.36	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $42.66	Professional		$15.85	$21.88	$42.66