Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $40.74 / $52.48	Facility		$38.02	$40.74	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $57.54	Professional		$32.36	$43.65	$57.54
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 $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $112.20	Facility		$51.29	$51.29	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $190.55	Professional		$91.20	$125.89	$190.55
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $67.61	Professional		$50.12	$50.12	$67.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $40.74 / $52.48	Facility		$38.02	$40.74	$52.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $63.10	Professional		$32.36	$42.66	$63.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $26.92 / $64.57	Facility		$23.99	$26.92	$64.57
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $26.92 / $64.57	Professional		$11.75	$26.92	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $70.79	Professional		$33.11	$42.66	$70.79