Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $70.79 / $70.79	Facility		$44.67	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $28.84	Professional		$7.94	$12.02	$28.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $104.71 / $112.20	Facility		$57.54	$104.71	$112.20
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $30.90 / $30.90	Facility		$28.84	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $39.81	Professional		$19.50	$25.12	$39.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $48.98	Professional		$18.20	$28.84	$48.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $70.79 / $70.79	Facility		$44.67	$70.79	$70.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $61.66	Professional		$7.94	$12.88	$61.66
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 Professional Modifier Low / Median / High Price $7.59 / $14.79 / $19.50	Professional		$7.59	$14.79	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.12 / $23.44	Professional		$6.31	$9.12	$23.44