Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $338.84 / $794.33	Facility		$128.82	$338.84	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $213.80	Professional		$81.28	$102.33	$213.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $8,511.38 / $77,624.71	Facility		$66.07	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $97.72 / $186.21	Professional		$95.50	$97.72	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $239.88 / $851.14	Facility		$104.71	$239.88	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $213.80	Professional		$79.43	$125.89	$213.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $162.18	Professional		$102.33	$131.83	$162.18
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 $81.28 / $112.20 / $208.93	Professional		$81.28	$112.20	$208.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $398.11 / $812.83	Facility		$0.50	$398.11	$812.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $338.84 / $794.33	Facility		$128.82	$338.84	$794.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $263.03	Professional		$89.13	$114.82	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $134.90 / $199.53	Professional		$42.66	$134.90	$199.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $67.61 / $107.15	Facility		$58.88	$67.61	$107.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $117.49	Professional		$53.70	$70.79	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $933.25 / $1,230.27	Facility		$524.81	$933.25	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $186.21	Professional		$83.18	$112.20	$186.21