Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $251.19 / $398.11	Facility		$112.20	$251.19	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $104.71	Professional		$61.66	$75.86	$104.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $549.54 / $5,011.87	Facility		$407.38	$549.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $186.21	Professional		$70.79	$70.79	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $147.91 / $316.23	Facility		$89.13	$147.91	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $199.53	Professional		$95.50	$123.03	$199.53
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $204.17	Professional		$85.11	$120.23	$204.17
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $234.42 / $380.19	Facility		$107.15	$234.42	$380.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $269.15	Professional		$61.66	$75.86	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $67.61 / $125.89	Facility		$29.51	$67.61	$125.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $91.20 / $257.04	Professional		$29.51	$91.20	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $109.65	Facility		$91.20	$91.20	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $128.82	Professional		$38.90	$54.95	$128.82