Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $794.33 / $1,071.52	Facility		$302.00	$794.33	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $630.96	Professional		$218.78	$269.15	$630.96
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 $239.88 / $245.47 / $501.19	Professional		$239.88	$245.47	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $645.65 / $1,202.26	Facility		$309.03	$645.65	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $501.19	Professional		$181.97	$295.12	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $426.58	Professional		$363.08	$363.08	$426.58
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $512.86	Professional		$169.82	$323.59	$512.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $549.54 / $1,023.29	Facility		$302.00	$549.54	$1,023.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $741.31	Professional		$229.09	$302.00	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $251.19 / $524.81	Professional		$32.36	$251.19	$524.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $128.82 / $537.03	Facility		$109.65	$128.82	$537.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $407.38	Professional		$109.65	$138.04	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,148.15 / $1,412.54	Facility		$602.56	$1,148.15	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $512.86	Professional		$190.55	$302.00	$512.86