Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $501.19 / $812.83	Facility		$223.87	$501.19	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $213.80	Professional		$112.20	$151.36	$213.80
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $295.12 / $630.96	Facility		$181.97	$295.12	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $398.11	Professional		$194.98	$251.19	$398.11
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $346.74	Professional		$138.04	$223.87	$346.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $467.74 / $776.25	Facility		$218.78	$467.74	$776.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $549.54	Professional		$112.20	$151.36	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $141.25 / $204.17	Facility		$50.12	$141.25	$204.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $173.78 / $204.17	Professional		$50.12	$173.78	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $223.87	Facility		$186.21	$186.21	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $229.09	Professional		$77.62	$112.20	$229.09