Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $100.00 / $100.00	Facility		$25.12	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $56.23	Professional		$25.12	$32.36	$56.23
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 $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $64.57	Facility		$38.02	$38.02	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $38.02	Professional		$28.18	$28.18	$38.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $123.03	Professional		$58.88	$83.18	$123.03
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $64.57	Professional		$38.02	$44.67	$64.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $100.00	Facility		$25.12	$25.12	$100.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $75.86	Professional		$25.12	$33.11	$75.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $89.13 / $123.03	Professional		$0.60	$89.13	$123.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $44.67 / $60.26	Facility		$27.54	$44.67	$60.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $173.78	Professional		$44.67	$56.23	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $77.62 / $93.33	Facility		$28.18	$77.62	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $56.23	Professional		$23.99	$31.62	$56.23