Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $144.54 / $144.54	Facility		$36.31	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $79.43	Professional		$36.31	$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 $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $91.20	Facility		$57.54	$57.54	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $57.54	Professional		$41.69	$41.69	$57.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $173.78	Professional		$85.11	$120.23	$173.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $91.20	Professional		$54.95	$64.57	$91.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $144.54	Facility		$36.31	$36.31	$144.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $87.10	Professional		$36.31	$46.77	$87.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $128.82 / $177.83	Professional		$0.60	$128.82	$177.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $52.48 / $85.11	Facility		$25.70	$52.48	$85.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $87.10	Professional		$50.12	$64.57	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $112.20 / $134.90	Facility		$40.74	$112.20	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $81.28	Professional		$33.88	$44.67	$81.28