Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $147.91 / $147.91	Facility		$38.02	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.69 / $75.86	Professional		$33.88	$41.69	$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 $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $79.43	Facility		$48.98	$48.98	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $48.98	Professional		$35.48	$35.48	$48.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $151.36	Professional		$72.44	$104.71	$151.36
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $87.10	Professional		$52.48	$57.54	$87.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $147.91	Facility		$38.02	$38.02	$147.91
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $77.62	Professional		$36.31	$41.69	$77.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $107.15 / $154.88	Professional		$0.60	$107.15	$154.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Facility		$60.26	$60.26	$81.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $83.18	Professional		$60.26	$60.26	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $107.15 / $125.89	Facility		$35.48	$107.15	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $77.62	Professional		$36.31	$46.77	$77.62