Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $63.10 / $107.15	Facility		$61.66	$63.10	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $63.10 / $87.10	Professional		$61.66	$63.10	$87.10
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $81.28 / $5,011.87	Facility		$69.18	$81.28	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $64.57	Professional		$63.10	$63.10	$64.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $223.87	Professional		$70.79	$83.18	$223.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $218.78	Professional		$117.49	$151.36	$218.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $63.10 / $107.15	Facility		$61.66	$63.10	$107.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $63.10 / $114.82	Professional		$61.66	$63.10	$114.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $194.98 / $245.47	Professional		$0.60	$194.98	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $102.33	Facility		$72.44	$72.44	$102.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $102.33	Professional		$72.44	$89.13	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $125.89	Professional		$79.43	$102.33	$125.89