Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $346.74 / $851.14	Facility		$131.83	$346.74	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $263.03	Professional		$87.10	$114.82	$263.03
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 $102.33 / $107.15 / $128.82	Professional		$102.33	$107.15	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $204.17 / $1,905.46	Facility		$81.28	$204.17	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $275.42	Professional		$87.10	$158.49	$275.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $177.83	Professional		$109.65	$141.25	$177.83
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $288.40	Professional		$107.15	$158.49	$288.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $239.88 / $758.58	Facility		$131.83	$239.88	$758.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $309.03	Professional		$97.72	$131.83	$309.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $134.90 / $281.84	Professional		$46.77	$134.90	$281.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $138.04 / $213.80	Facility		$13.80	$138.04	$213.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $138.04 / $309.03	Professional		$18.62	$138.04	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,089.30 / $2,818.38	Facility		$1,174.90	$2,089.30	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $218.78	Professional		$97.72	$131.83	$218.78