Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.90 / $66.07	Facility		$38.02	$38.90	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $54.95	Professional		$38.02	$38.02	$54.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $53.70 / $5,011.87	Facility		$45.71	$53.70	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $41.69	Professional		$38.90	$38.90	$41.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $162.18	Professional		$54.95	$54.95	$162.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $131.83 / $199.53	Professional		$19.05	$131.83	$199.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.90 / $66.07	Facility		$38.02	$38.90	$66.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $74.13	Professional		$38.02	$38.02	$74.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $52.48 / $245.47	Professional		$0.60	$52.48	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $44.67 / $54.95	Facility		$42.66	$44.67	$54.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $190.55	Professional		$42.66	$44.67	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $125.89	Professional		$61.66	$97.72	$125.89