Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $20.42 / $5,370.32	Facility		$8.32	$20.42	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $8,511.38	Professional		$7.94	$10.00	$8,511.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $8.71 / $5,011.87	Facility		$7.41	$8.71	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.62 / $16.98	Professional		$4.79	$5.62	$16.98
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.72 / $18.20	Professional		$8.13	$10.72	$18.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $54.95 / $213.80	Facility		$21.88	$54.95	$213.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.18 / $29.51	Professional		$19.50	$28.18	$29.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $19.50 / $5,370.32	Facility		$8.32	$19.50	$5,370.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.32 / $2,454.71	Professional		$7.94	$8.32	$2,454.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $30.20 / $125.89	Professional		$0.60	$30.20	$125.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $33.11 / $38.90	Facility		$32.36	$33.11	$38.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $33.11 / $35.48	Professional		$18.62	$33.11	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.71 / $22.91	Professional		$8.13	$8.71	$22.91