Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $43.65	Facility		$25.70	$25.70	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $30.90	Professional		$25.70	$25.70	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $186.21	Professional		$147.91	$154.88	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $263.03	Professional		$154.88	$199.53	$263.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $208.93	Professional		$120.23	$158.49	$208.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $43.65	Facility		$25.70	$25.70	$43.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $64.57	Professional		$25.70	$25.70	$64.57
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 $8.32 / $10.00 / $123.03	Facility		$8.32	$10.00	$123.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.51 / $123.03	Professional		$6.46	$8.51	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $141.25	Professional		$107.15	$125.89	$141.25