Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $162.18 / $162.18	Facility		$41.69	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $95.50	Professional		$41.69	$54.95	$95.50
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 $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $123.03	Facility		$66.07	$66.07	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $66.07	Professional		$48.98	$48.98	$66.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $234.42	Professional		$114.82	$162.18	$234.42
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $104.71	Professional		$63.10	$72.44	$104.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $162.18	Facility		$41.69	$41.69	$162.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $107.15	Professional		$42.66	$57.54	$107.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $165.96 / $239.88	Professional		$0.60	$165.96	$239.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $97.72	Facility		$48.98	$48.98	$97.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $97.72	Professional		$48.98	$48.98	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $138.04 / $165.96	Facility		$46.77	$138.04	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $93.33	Professional		$41.69	$51.29	$93.33