Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $446.68 / $724.44	Facility		$199.53	$446.68	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $186.21	Professional		$109.65	$134.90	$186.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $5,011.87	Facility		$741.31	$977.24	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $331.13	Professional		$128.82	$128.82	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $263.03 / $562.34	Facility		$158.49	$263.03	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $354.81	Professional		$173.78	$223.87	$354.81
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $363.08	Professional		$151.36	$218.78	$363.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $416.87 / $691.83	Facility		$190.55	$416.87	$691.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $478.63	Professional		$109.65	$134.90	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $181.97 / $426.58	Facility		$50.12	$181.97	$426.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $181.97 / $426.58	Professional		$50.12	$181.97	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $194.98	Facility		$162.18	$162.18	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $229.09	Professional		$69.18	$97.72	$229.09