Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $95.50 / $95.50	Facility		$23.99	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $52.48	Professional		$23.99	$30.20	$52.48
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 $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $61.66	Facility		$36.31	$36.31	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $36.31	Professional		$26.92	$26.92	$36.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $114.82	Professional		$56.23	$79.43	$114.82
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $61.66	Professional		$36.31	$42.66	$61.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $95.50	Facility		$23.99	$23.99	$95.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $58.88	Professional		$23.99	$31.62	$58.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $97.72	Facility		$63.10	$63.10	$97.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $85.11 / $117.49	Professional		$0.60	$85.11	$117.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $57.54	Facility		$42.66	$42.66	$57.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $891.25	Professional		$42.66	$57.54	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $74.13 / $89.13	Facility		$26.92	$74.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $53.70	Professional		$22.91	$30.20	$53.70