Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $75.86 / $75.86	Facility		$19.05	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $42.66	Professional		$19.05	$23.99	$42.66
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 $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $48.98	Facility		$33.88	$33.88	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $33.88	Professional		$24.55	$24.55	$33.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $93.33	Professional		$44.67	$64.57	$93.33
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.88 / $48.98	Professional		$29.51	$33.88	$48.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $75.86	Facility		$19.05	$19.05	$75.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $46.77	Professional		$19.05	$25.12	$46.77
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $77.62	Facility		$17.38	$17.38	$77.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $18.20 / $74.13	Professional		$17.38	$18.20	$74.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $45.71	Facility		$33.88	$33.88	$45.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $46.77	Professional		$33.88	$33.88	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $60.26 / $70.79	Facility		$21.88	$60.26	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $43.65	Professional		$18.20	$23.99	$43.65