Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $229.09 / $229.09	Facility		$58.88	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $128.82	Professional		$58.88	$79.43	$128.82
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 $81.28 / $117.49 / $147.91	Professional		$81.28	$117.49	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $147.91	Facility		$100.00	$100.00	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $100.00	Professional		$74.13	$74.13	$100.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $281.84	Professional		$134.90	$194.98	$281.84
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $147.91	Professional		$89.13	$104.71	$147.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $229.09	Facility		$58.88	$58.88	$229.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $158.49	Professional		$60.26	$83.18	$158.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $199.53 / $288.40	Professional		$0.60	$199.53	$288.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $309.03	Facility		$104.71	$104.71	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $309.03	Professional		$104.71	$134.90	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $199.53 / $234.42	Facility		$72.44	$199.53	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $134.90	Professional		$60.26	$72.44	$134.90