Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $60.26 / $81.28	Facility		$31.62	$60.26	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.90 / $38.90	Professional		$28.84	$30.90	$38.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.90 / $5,011.87	Facility		$26.30	$30.90	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $39.81	Professional		$31.62	$31.62	$39.81
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.98 / $25.12	Professional		$13.18	$16.98	$25.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $77.62	Facility		$31.62	$46.77	$77.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.90 / $45.71	Professional		$28.84	$30.90	$45.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $35.48 / $74.13	Professional		$0.60	$35.48	$74.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $42.66 / $758.58	Facility		$32.36	$42.66	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $89.13 / $758.58	Professional		$32.36	$89.13	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $37.15	Professional		$30.90	$32.36	$37.15