Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $97.72 / $97.72	Facility		$25.12	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $54.95	Professional		$25.12	$32.36	$54.95
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 $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $63.10	Facility		$34.67	$34.67	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $37.15	Professional		$25.70	$25.70	$37.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $117.49	Professional		$57.54	$81.28	$117.49
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $63.10	Professional		$37.15	$43.65	$63.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $45.71	Professional		$42.66	$42.66	$45.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $97.72	Facility		$25.12	$25.12	$97.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $74.13	Professional		$25.12	$33.11	$74.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $91.20 / $120.23	Professional		$0.60	$91.20	$120.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $43.65 / $70.79	Facility		$38.02	$43.65	$70.79
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $60.26	Professional		$38.02	$43.65	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $75.86 / $91.20	Facility		$27.54	$75.86	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $54.95	Professional		$23.44	$30.90	$54.95