Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $114.82 / $114.82	Facility		$28.84	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $83.18	Professional		$28.84	$42.66	$83.18
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 $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $72.44	Facility		$52.48	$52.48	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $52.48	Professional		$38.90	$38.90	$52.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $138.04	Professional		$67.61	$95.50	$138.04
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $51.29 / $72.44	Professional		$43.65	$51.29	$72.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $114.82	Facility		$28.84	$28.84	$114.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $87.10	Professional		$28.84	$44.67	$87.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $114.82	Facility		$44.67	$44.67	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $97.72 / $141.25	Professional		$0.60	$97.72	$141.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $51.29 / $67.61	Facility		$45.71	$51.29	$67.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $281.84	Professional		$51.29	$67.61	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $97.72 / $117.49	Facility		$35.48	$97.72	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $66.07	Professional		$29.51	$35.48	$66.07