Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $154.88 / $154.88	Facility		$39.81	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $131.83	Professional		$38.90	$51.29	$131.83
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 $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $87.10	Facility		$53.70	$53.70	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $57.54	Professional		$38.90	$38.90	$57.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $165.96	Professional		$81.28	$114.82	$165.96
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $61.66 / $100.00	Professional		$60.26	$61.66	$100.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $74.13	Professional		$69.18	$69.18	$74.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $154.88	Facility		$39.81	$39.81	$154.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $104.71	Professional		$39.81	$51.29	$104.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $138.04	Facility		$37.15	$37.15	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $138.04	Professional		$30.90	$30.90	$138.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $141.25	Facility		$70.79	$70.79	$141.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $95.50	Professional		$70.79	$70.79	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $117.49 / $141.25	Facility		$42.66	$117.49	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $87.10	Professional		$35.48	$48.98	$87.10