Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $575.44 / $1,479.11	Facility		$89.13	$575.44	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $234.42	Professional		$70.79	$89.13	$234.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,380.38 / $5,011.87	Facility		$954.99	$1,380.38	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $67.61 / $67.61	Professional		$64.57	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $346.74 / $1,737.80	Facility		$107.15	$346.74	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $199.53	Professional		$100.00	$120.23	$199.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $117.49	Professional		$83.18	$89.13	$117.49
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $269.15	Professional		$89.13	$125.89	$269.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $575.44 / $1,479.11	Facility		$89.13	$575.44	$1,479.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $263.03	Professional		$70.79	$89.13	$263.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $131.83	Professional		$77.62	$102.33	$131.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $177.83 / $323.59	Facility		$125.89	$177.83	$323.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $323.59	Professional		$125.89	$177.83	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,584.89 / $1,949.84	Facility		$831.76	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $245.47	Professional		$81.28	$107.15	$245.47