Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $562.34 / $1,584.89	Facility		$245.47	$562.34	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $354.81	Professional		$114.82	$162.18	$354.81
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $524.81 / $1,122.02	Facility		$204.17	$524.81	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $831.76	Professional		$407.38	$512.86	$831.76
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $380.19 / $676.08	Professional		$144.54	$380.19	$676.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $575.44 / $1,584.89	Facility		$223.87	$575.44	$1,584.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $676.08	Professional		$114.82	$186.21	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $380.19	Facility		$208.93	$208.93	$380.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $389.05	Professional		$208.93	$380.19	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $457.09	Facility		$380.19	$380.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $323.59	Professional		$81.28	$114.82	$323.59