Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $120.23 / $120.23	Facility		$30.90	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $67.61	Professional		$30.20	$38.90	$67.61
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 $69.18 / $75.86 / $75.86	Professional		$69.18	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $75.86	Facility		$36.31	$36.31	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $40.74	Professional		$26.92	$26.92	$40.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $144.54	Professional		$69.18	$97.72	$144.54
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $77.62	Professional		$46.77	$52.48	$77.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $120.23	Facility		$30.90	$30.90	$120.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $89.13	Professional		$30.20	$40.74	$89.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $120.23	Facility		$45.71	$45.71	$120.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $120.23	Professional		$45.71	$45.71	$120.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $54.95 / $72.44	Facility		$12.59	$54.95	$72.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $117.49	Professional		$54.95	$70.79	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $91.20 / $109.65	Facility		$33.11	$91.20	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $69.18	Professional		$28.18	$38.02	$69.18