Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.90 / $50.12	Professional		$19.50	$38.90	$50.12
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $138.04	Professional		$70.79	$93.33	$138.04
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $58.88	Professional		$35.48	$45.71	$58.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.90 / $52.48	Professional		$19.50	$38.90	$52.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $25.12	Professional		$0.60	$0.60	$25.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $41.69 / $309.03	Professional		$39.81	$41.69	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $44.67	Professional		$19.95	$28.84	$44.67