Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $257.04 / $630.96	Facility		$97.72	$257.04	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $173.78	Professional		$64.57	$81.28	$173.78
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 $79.43 / $81.28 / $144.54	Professional		$79.43	$81.28	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $165.96 / $575.44	Facility		$72.44	$165.96	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $177.83	Professional		$64.57	$104.71	$177.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $134.90	Professional		$85.11	$107.15	$134.90
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $169.82	Professional		$79.43	$104.71	$169.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $229.09 / $389.05	Facility		$97.72	$229.09	$389.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $213.80	Professional		$70.79	$89.13	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $169.82	Professional		$131.83	$144.54	$169.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $70.79 / $309.03	Facility		$58.88	$70.79	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $309.03	Professional		$50.12	$70.79	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $645.65 / $851.14	Facility		$363.08	$645.65	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $144.54	Professional		$69.18	$91.20	$144.54