Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $4,265.80 / $8,511.38	Facility		$69.18	$4,265.80	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $19.05 / $44.67	Professional		$6.03	$19.05	$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 $23.44 / $34.67 / $45.71	Professional		$23.44	$34.67	$45.71
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $23.44 / $36.31 / $42.66	Professional	50	$23.44	$36.31	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $39.81	Professional		$28.18	$36.31	$39.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $26.30 / $41.69	Professional		$12.02	$26.30	$41.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $3,801.89 / $8,317.64	Facility		$70.79	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $18.20 / $42.66	Professional		$6.76	$18.20	$42.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $8.91 / $27.54	Facility		$5.50	$8.91	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $8.71 / $27.54	Professional		$4.90	$8.71	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $489.78 / $3,890.45	Facility		$120.23	$489.78	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $16.22 / $32.36	Professional		$7.08	$16.22	$32.36