Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $151.36 / $302.00	Facility		$72.44	$151.36	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $134.90	Professional		$64.57	$64.57	$134.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $5,011.87	Facility		$60.26	$70.79	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $70.79	Professional		$64.57	$64.57	$70.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $70.79	Professional		$52.48	$57.54	$70.79
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $165.96	Professional		$64.57	$91.20	$165.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $151.36 / $302.00	Facility		$66.07	$151.36	$302.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $67.61 / $162.18	Professional		$64.57	$67.61	$162.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $218.78 / $354.81	Professional		$0.60	$218.78	$354.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $158.49	Facility		$93.33	$93.33	$158.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $158.49	Professional		$93.33	$134.90	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $69.18 / $97.72	Professional		$64.57	$69.18	$97.72