Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $741.31 / $1,202.26	Facility		$331.13	$741.31	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $316.23	Professional		$151.36	$218.78	$316.23
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $933.25	Facility		$269.15	$436.52	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $602.56	Professional		$288.40	$371.54	$602.56
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $478.63	Professional		$186.21	$323.59	$478.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $707.95 / $1,148.15	Facility		$323.59	$707.95	$1,148.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $812.83	Professional		$151.36	$223.87	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $229.09 / $302.00	Facility		$114.82	$229.09	$302.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $275.42 / $407.38	Professional		$114.82	$275.42	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $331.13	Facility		$275.42	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $331.13	Professional		$104.71	$147.91	$331.13