Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $30.90 / $43.65	Facility		$15.14	$30.90	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $19.95	Professional		$14.13	$14.13	$19.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.49 / $5,011.87	Facility		$13.18	$15.49	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.79	Professional		$14.13	$14.13	$14.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $17.38	Professional		$14.13	$14.13	$17.38
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.62 / $28.18	Professional		$14.13	$18.62	$28.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $29.51 / $43.65	Facility		$14.45	$29.51	$43.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.45 / $23.44	Professional		$14.13	$14.45	$23.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $28.84 / $30.20	Professional		$0.60	$28.84	$30.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.14 / $16.60	Facility		$12.02	$15.14	$16.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $22.39	Professional		$12.02	$14.79	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $16.98	Professional		$14.13	$15.14	$16.98