Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $177.83 / $177.83	Facility		$45.71	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $61.66 / $95.50	Professional		$43.65	$61.66	$95.50
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 $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $104.71	Facility		$64.57	$64.57	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $64.57	Professional		$46.77	$46.77	$64.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $199.53	Professional		$97.72	$138.04	$199.53
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $114.82	Professional		$69.18	$74.13	$114.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $177.83	Facility		$45.71	$45.71	$177.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $123.03	Professional		$44.67	$64.57	$123.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $141.25 / $204.17	Professional		$0.60	$141.25	$204.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $79.43 / $107.15	Facility		$52.48	$79.43	$107.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $79.43 / $109.65	Professional		$40.74	$79.43	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $141.25 / $169.82	Facility		$50.12	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $100.00	Professional		$42.66	$56.23	$100.00