Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $57.54	Professional		$30.20	$38.02	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
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 $40.74 / $53.70 / $72.44	Professional		$40.74	$53.70	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $72.44	Professional		$37.15	$51.29	$72.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $77.62	Professional		$38.02	$48.98	$77.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $91.20	Professional		$30.20	$38.90	$91.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $81.28	Facility		$75.86	$75.86	$81.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $87.10	Professional		$40.74	$69.18	$87.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.88 / $40.74	Facility		$33.11	$33.88	$40.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $48.98	Professional		$33.11	$40.74	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $72.44	Professional		$32.36	$41.69	$72.44