Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $67.61 / $75.86	Professional		$33.88	$67.61	$75.86
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $213.80	Professional		$109.65	$141.25	$213.80
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $89.13	Professional		$53.70	$69.18	$89.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $64.57	Professional		$58.88	$64.57	$64.57
Independence Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $67.61 / $77.62	Professional		$30.90	$67.61	$77.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $50.12	Professional		$0.60	$0.60	$50.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $61.66 / $61.66	Professional		$60.26	$61.66	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $69.18	Professional		$32.36	$43.65	$69.18