Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $125.89	Facility		$95.50	$95.50	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $229.09	Professional		$85.11	$117.49	$229.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $194.98	Professional		$131.83	$154.88	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $223.87	Professional		$89.13	$128.82	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $288.40	Professional		$165.96	$223.87	$288.40
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $234.42	Professional		$104.71	$165.96	$234.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $125.89	Facility		$95.50	$95.50	$125.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $309.03	Professional		$89.13	$141.25	$309.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $257.04	Facility		$251.19	$251.19	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $288.40	Professional		$131.83	$190.55	$288.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $104.71 / $128.82	Facility		$69.18	$104.71	$128.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $309.03	Professional		$72.44	$104.71	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $758.58 / $3,890.45	Facility		$223.87	$758.58	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $204.17	Professional		$83.18	$123.03	$204.17