Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $89.13	Professional		$38.90	$54.95	$89.13
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 $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $144.54	Facility		$64.57	$64.57	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $64.57	Professional		$54.95	$54.95	$64.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $147.91	Professional		$75.86	$104.71	$147.91
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $47.86 / $85.11	Professional		$43.65	$47.86	$85.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $100.00	Professional		$38.02	$60.26	$100.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $154.88 / $186.21	Professional		$0.60	$154.88	$186.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $63.10 / $87.10	Facility		$18.20	$63.10	$87.10
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $67.61 / $89.13	Professional		$26.30	$67.61	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $54.95 / $60.26	Facility		$45.71	$54.95	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $93.33	Professional		$38.02	$54.95	$93.33