Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $5,128.61	Facility		$77.62	$77.62	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $100.00	Professional		$77.62	$77.62	$100.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $77.62 / $97.72	Facility		$66.07	$77.62	$97.72
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $263.03	Professional		$66.07	$77.62	$263.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $218.78	Professional		$120.23	$158.49	$218.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $79.43 / $5,128.61	Facility		$77.62	$79.43	$5,128.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $109.65	Professional		$77.62	$77.62	$109.65
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 $18.20 / $74.13 / $91.20	Facility		$18.20	$74.13	$91.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $75.86 / $190.55	Professional		$18.20	$75.86	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $125.89	Professional		$77.62	$107.15	$125.89