Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $407.38 / $724.44	Facility		$134.90	$407.38	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $223.87	Professional		$107.15	$141.25	$223.87
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 / $154.88	Professional		$151.36	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $295.12 / $537.03	Facility		$125.89	$295.12	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $269.15	Professional		$100.00	$147.91	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $141.25	Professional		$104.71	$112.20	$141.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $104.71 / $186.21	Professional		$51.29	$104.71	$186.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $288.40 / $537.03	Facility		$186.21	$288.40	$537.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $141.25	Professional		$85.11	$102.33	$141.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $354.81 / $724.44	Facility		$134.90	$354.81	$724.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $251.19	Professional		$107.15	$138.04	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $281.84	Professional		$125.89	$158.49	$281.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $257.04	Facility		$40.74	$40.74	$257.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $257.04	Professional		$40.74	$40.74	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $295.12 / $363.08	Facility		$154.88	$295.12	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $151.36 / $251.19	Professional		$72.44	$151.36	$251.19