Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $58.88 / $58.88	Facility		$15.14	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $33.11	Professional		$15.14	$19.05	$33.11
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 $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $38.02	Facility		$21.38	$21.38	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $22.39	Professional		$15.49	$15.49	$22.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $72.44	Professional		$34.67	$50.12	$72.44
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $38.02	Professional		$22.91	$26.92	$38.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $58.88	Facility		$15.14	$15.14	$58.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $36.31	Professional		$15.14	$19.05	$36.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $60.26	Facility		$52.48	$52.48	$60.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $52.48 / $74.13	Professional		$0.60	$52.48	$74.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $26.92 / $35.48	Facility		$25.12	$26.92	$35.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $48.98	Professional		$25.12	$26.92	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $46.77 / $56.23	Facility		$16.98	$46.77	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.62 / $33.88	Professional		$14.13	$18.62	$33.88