Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $109.65 / $151.36	Facility		$44.67	$109.65	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $52.48	Professional		$41.69	$43.65	$52.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $38.02 / $5,011.87	Facility		$31.62	$38.02	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $104.71 / $263.03	Facility		$33.11	$104.71	$263.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $85.11 / $151.36	Facility		$44.67	$85.11	$151.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $107.15	Professional		$41.69	$43.65	$107.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $100.00 / $120.23	Professional		$0.60	$100.00	$120.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $54.95 / $218.78	Facility		$13.80	$54.95	$218.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $54.95 / $218.78	Professional		$13.80	$54.95	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $63.10	Professional		$47.86	$50.12	$63.10