Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $91.20 / $165.96	Facility		$70.79	$91.20	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $181.97	Professional		$63.10	$91.20	$181.97
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 $97.72 / $154.88 / $181.97	Professional		$97.72	$154.88	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $177.83	Professional		$67.61	$102.33	$177.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $223.87	Professional		$131.83	$177.83	$223.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $181.97	Professional		$67.61	$114.82	$181.97
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $91.20 / $165.96	Facility		$70.79	$91.20	$165.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $245.47	Professional		$67.61	$104.71	$245.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $199.53	Facility		$147.91	$147.91	$199.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $208.93	Professional		$104.71	$147.91	$208.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $61.66 / $95.50	Facility		$39.81	$61.66	$95.50
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $309.03	Professional		$51.29	$75.86	$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 $63.10 / $97.72 / $162.18	Professional		$63.10	$97.72	$162.18