Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $776.25 / $1,318.26	Facility		$380.19	$776.25	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $346.74	Professional		$181.97	$245.47	$346.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $416.87 / $891.25	Facility		$199.53	$416.87	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $660.69	Professional		$316.23	$407.38	$660.69
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $575.44	Professional		$223.87	$346.74	$575.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $776.25 / $1,318.26	Facility		$354.81	$776.25	$1,318.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $891.25	Professional		$181.97	$245.47	$891.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $302.00 / $331.13	Facility		$165.96	$302.00	$331.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $331.13	Professional		$165.96	$302.00	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $363.08	Facility		$302.00	$302.00	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $380.19	Professional		$125.89	$181.97	$380.19