Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $234.42 / $489.78	Facility		$100.00	$234.42	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $147.91	Professional		$57.54	$83.18	$147.91
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 / $83.18 / $147.91	Professional		$79.43	$83.18	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $199.53 / $426.58	Facility		$81.28	$199.53	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $158.49	Professional		$50.12	$83.18	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $138.04	Professional		$87.10	$109.65	$138.04
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $83.18 / $165.96	Professional		$33.88	$83.18	$165.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $190.55 / $407.38	Facility		$100.00	$190.55	$407.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $204.17	Professional		$63.10	$87.10	$204.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $158.49	Professional		$54.95	$112.20	$158.49
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $33.88 / $83.18	Facility		$23.99	$33.88	$83.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $245.47	Professional		$30.20	$50.12	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $467.74 / $630.96	Facility		$263.03	$467.74	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $138.04	Professional		$45.71	$79.43	$138.04