Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $89.13 / $89.13	Facility		$21.88	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $50.12	Professional		$21.88	$28.84	$50.12
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 $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $56.23	Facility		$31.62	$31.62	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $33.11	Professional		$22.91	$22.91	$33.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $107.15	Professional		$52.48	$74.13	$107.15
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $56.23	Professional		$33.88	$39.81	$56.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $89.13	Facility		$21.88	$21.88	$89.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $63.10	Professional		$22.91	$30.20	$63.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $89.13	Facility		$54.95	$54.95	$89.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $21.88 / $91.20	Professional		$0.60	$21.88	$91.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $52.48	Facility		$39.81	$39.81	$52.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $52.48 / $74.13	Professional		$20.89	$52.48	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $69.18 / $83.18	Facility		$25.12	$69.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $50.12	Professional		$20.89	$27.54	$50.12