Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $138.04 / $138.04	Facility		$34.67	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $79.43	Professional		$34.67	$45.71	$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 $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $89.13	Facility		$53.70	$53.70	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $53.70	Professional		$39.81	$39.81	$53.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $165.96	Professional		$81.28	$114.82	$165.96
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $89.13	Professional		$52.48	$61.66	$89.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $138.04	Facility		$34.67	$34.67	$138.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $107.15	Professional		$34.67	$51.29	$107.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $117.49 / $169.82	Professional		$0.60	$117.49	$169.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $83.18	Facility		$61.66	$61.66	$83.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $371.54	Professional		$61.66	$83.18	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $117.49 / $141.25	Facility		$42.66	$117.49	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $42.66 / $79.43	Professional		$35.48	$42.66	$79.43