Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $37.15 / $47.86	Professional		$19.95	$37.15	$47.86
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $134.90	Professional		$67.61	$89.13	$134.90
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $60.26	Professional		$36.31	$46.77	$60.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $44.67	Professional		$39.81	$39.81	$44.67
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 $19.05 / $36.31 / $47.86	Professional		$19.05	$36.31	$47.86
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 $40.74 / $42.66 / $56.23	Professional		$40.74	$42.66	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $44.67	Professional		$19.95	$29.51	$44.67