Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $125.89 / $125.89	Facility		$32.36	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $75.86	Professional		$30.90	$40.74	$75.86
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 $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $100.00	Facility		$45.71	$45.71	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $45.71	Professional		$33.11	$33.11	$45.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $190.55	Professional		$91.20	$131.83	$190.55
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $74.13	Professional		$44.67	$52.48	$74.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $125.89	Facility		$32.36	$32.36	$125.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $81.28	Professional		$32.36	$41.69	$81.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $131.83 / $190.55	Professional		$0.60	$131.83	$190.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $69.18	Facility		$34.67	$34.67	$69.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $69.18 / $93.33	Professional		$34.67	$69.18	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $100.00 / $120.23	Facility		$33.11	$100.00	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $74.13	Professional		$33.11	$43.65	$74.13