Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $676.08 / $1,023.29	Facility		$263.03	$676.08	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $239.88	Professional		$147.91	$199.53	$239.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $407.38 / $851.14	Facility		$239.88	$407.38	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $537.03	Professional		$263.03	$338.84	$537.03
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $630.96	Professional		$269.15	$416.87	$630.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $676.08 / $1,023.29	Facility		$338.84	$676.08	$1,023.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $616.60	Professional		$147.91	$199.53	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $251.19 / $275.42	Facility		$75.86	$251.19	$275.42
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $251.19 / $275.42	Professional		$75.86	$251.19	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $295.12	Facility		$251.19	$251.19	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $309.03	Professional		$104.71	$147.91	$309.03