Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $64.57	Professional		$33.11	$38.02	$64.57
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 $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $77.62	Facility		$61.66	$61.66	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $61.66	Professional		$52.48	$52.48	$61.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $147.91	Professional		$70.79	$102.33	$147.91
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $77.62	Professional		$46.77	$54.95	$77.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $67.61	Professional		$33.11	$38.90	$67.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $109.65 / $151.36	Professional		$0.60	$109.65	$151.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $54.95 / $54.95	Professional		$16.98	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $95.50 / $114.82	Facility		$34.67	$95.50	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $69.18	Professional		$34.67	$40.74	$69.18