Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $173.78 / $173.78	Facility		$44.67	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $93.33	Professional		$40.74	$53.70	$93.33
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 $60.26 / $60.26 / $97.72	Facility		$60.26	$60.26	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $61.66	Professional		$43.65	$43.65	$61.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $186.21	Professional		$91.20	$128.82	$186.21
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $69.18 / $102.33	Professional		$61.66	$69.18	$102.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $173.78	Facility		$44.67	$44.67	$173.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $114.82	Professional		$40.74	$54.95	$114.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
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 $48.98 / $48.98 / $309.03	Facility		$48.98	$48.98	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $288.40	Professional		$48.98	$91.20	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $131.83 / $158.49	Facility		$43.65	$131.83	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $93.33	Professional		$45.71	$56.23	$93.33