Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $288.40 / $1,071.52	Facility		$97.72	$288.40	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $245.47	Professional		$89.13	$100.00	$245.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $194.98	Professional		$89.13	$134.90	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $204.17	Professional		$91.20	$131.83	$204.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $144.54	Professional		$102.33	$131.83	$144.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $151.36	Professional		$85.11	$95.50	$151.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $288.40 / $1,071.52	Facility		$97.72	$288.40	$1,071.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $269.15	Professional		$93.33	$114.82	$269.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $251.19	Professional		$190.55	$218.78	$251.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $426.58	Facility		$93.33	$93.33	$426.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $426.58	Professional		$93.33	$93.33	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $204.17	Professional		$91.20	$114.82	$204.17