Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $478.63 / $3,019.95	Facility		$173.78	$478.63	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $426.58	Professional		$123.03	$151.36	$426.58
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 $151.36 / $154.88 / $316.23	Professional		$151.36	$154.88	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $281.84 / $7,585.78	Facility		$125.89	$281.84	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $602.56	Professional		$128.82	$263.03	$602.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $257.04	Professional		$158.49	$204.17	$257.04
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $316.23 / $537.03	Professional		$154.88	$316.23	$537.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $398.11 / $1,096.48	Facility		$173.78	$398.11	$1,096.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $524.81	Professional		$125.89	$190.55	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $724.44	Professional		$269.15	$398.11	$724.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $346.74 / $354.81	Facility		$309.03	$346.74	$354.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $346.74 / $346.74	Professional		$144.54	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,511.38 / $11,220.18	Facility		$4,786.30	$8,511.38	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $489.78	Professional		$141.25	$199.53	$489.78