Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $66.07 / $66.07	Facility		$64.57	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $79.43	Professional		$64.57	$64.57	$79.43
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $147.91 / $5,011.87	Facility		$125.89	$147.91	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $67.61	Professional		$66.07	$66.07	$67.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $162.18	Professional		$128.82	$151.36	$162.18
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 $64.57 / $66.07 / $66.07	Facility		$64.57	$66.07	$66.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $66.07 / $117.49	Professional		$64.57	$66.07	$117.49
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 $30.20 / $75.86 / $186.21	Facility		$30.20	$75.86	$186.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $75.86 / $186.21	Professional		$30.20	$75.86	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $173.78	Professional		$125.89	$141.25	$173.78