Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $537.03 / $1,023.29	Facility		$204.17	$537.03	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $426.58	Professional		$151.36	$181.97	$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 $162.18 / $169.82 / $389.05	Professional		$162.18	$169.82	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $575.44 / $1,023.29	Facility		$269.15	$575.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $371.54	Professional		$134.90	$218.78	$371.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $288.40	Professional		$245.47	$245.47	$288.40
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $346.74	Professional		$138.04	$223.87	$346.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $436.52 / $812.83	Facility		$204.17	$436.52	$812.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $630.96	Professional		$154.88	$204.17	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $457.09	Professional		$257.04	$354.81	$457.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $112.20 / $309.03	Facility		$51.29	$112.20	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $112.20 / $467.74	Professional		$51.29	$112.20	$467.74
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 $154.88 / $223.87 / $389.05	Professional		$154.88	$223.87	$389.05