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 $30.90 / $44.67 / $79.43	Professional		$30.90	$44.67	$79.43
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 $42.66 / $61.66 / $77.62	Professional		$42.66	$61.66	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $79.43	Facility		$64.57	$64.57	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $64.57	Professional		$47.86	$47.86	$64.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $147.91	Professional		$70.79	$100.00	$147.91
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 / $53.70 / $77.62	Professional		$46.77	$53.70	$77.62
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 $30.90 / $46.77 / $91.20	Professional		$30.90	$46.77	$91.20
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $102.33 / $147.91	Professional		$0.60	$102.33	$147.91
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $257.04	Facility		$53.70	$53.70	$257.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $72.44 / $812.83	Professional		$32.36	$72.44	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $102.33 / $123.03	Facility		$37.15	$102.33	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $70.79	Professional		$30.90	$38.02	$70.79