Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $97.72 / $323.59	Facility		$12.02	$97.72	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $22.91	Professional		$12.02	$12.88	$22.91
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $30.20	Facility		$22.39	$22.39	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.39	Professional		$16.22	$16.22	$22.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $57.54	Professional		$27.54	$38.90	$57.54
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.89 / $30.90	Professional		$18.62	$20.89	$30.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $128.82	Facility		$102.33	$102.33	$128.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.39 / $22.39	Professional		$20.89	$22.39	$22.39
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $97.72 / $323.59	Facility		$12.02	$97.72	$323.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.18 / $45.71	Professional		$12.02	$13.18	$45.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $46.77	Facility		$39.81	$39.81	$46.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $39.81 / $56.23	Professional		$0.60	$39.81	$56.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $22.91	Facility		$18.20	$18.20	$22.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $23.44 / $74.13	Professional		$9.77	$23.44	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $48.98 / $58.88	Facility		$12.59	$48.98	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $25.70	Professional		$11.75	$14.79	$25.70