Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $3,467.37	Facility		$38.90	$38.90	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $54.95	Professional		$38.90	$38.90	$54.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $275.42 / $5,011.87	Facility		$234.42	$275.42	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
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 / $40.74	Professional		$38.90	$38.90	$40.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $831.76 / $977.24	Professional		$154.88	$831.76	$977.24
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 $38.90 / $39.81 / $3,467.37	Facility		$38.90	$39.81	$3,467.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $158.49	Professional		$38.90	$38.90	$158.49
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 $34.67 / $45.71 / $93.33	Facility		$34.67	$45.71	$93.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $275.42	Professional		$34.67	$50.12	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $446.68 / $954.99	Professional		$125.89	$446.68	$954.99