Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $436.52 / $1,071.52	Facility		$147.91	$436.52	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $426.58	Professional		$114.82	$147.91	$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 $144.54 / $151.36 / $645.65	Professional		$144.54	$151.36	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $229.09 / $7,585.78	Facility		$100.00	$229.09	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $616.60	Professional		$128.82	$263.03	$616.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $269.15	Professional		$165.96	$213.80	$269.15
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 $162.18 / $331.13 / $549.54	Professional		$162.18	$331.13	$549.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $346.74 / $1,071.52	Facility		$147.91	$346.74	$1,071.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $524.81	Professional		$125.89	$194.98	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $758.58	Professional		$275.42	$389.05	$758.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $346.74 / $363.08	Facility		$338.84	$346.74	$363.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $354.81	Professional		$186.21	$346.74	$354.81
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 $138.04 / $199.53 / $512.86	Professional		$138.04	$199.53	$512.86