Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $61.66	Professional		$33.88	$38.02	$61.66
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 $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $154.88	Facility		$44.67	$44.67	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $44.67	Professional		$38.02	$38.02	$44.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $107.15	Professional		$54.95	$75.86	$107.15
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $61.66	Professional		$37.15	$43.65	$61.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $79.43	Professional		$33.88	$39.81	$79.43
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 / $134.90 / $208.93	Professional		$0.60	$134.90	$208.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $64.57 / $173.78	Facility		$22.91	$64.57	$173.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $173.78	Professional		$46.77	$64.57	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $42.66 / $46.77	Facility		$34.67	$42.66	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $83.18	Professional		$26.92	$38.90	$83.18