Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $251.19 / $575.44	Facility		$87.10	$251.19	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $213.80	Professional		$64.57	$85.11	$213.80
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 $91.20 / $93.33 / $169.82	Professional		$91.20	$93.33	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $363.08 / $1,380.38	Facility		$97.72	$363.08	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $177.83	Professional		$72.44	$120.23	$177.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $165.96	Professional		$141.25	$141.25	$165.96
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $199.53	Professional		$91.20	$125.89	$199.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $208.93 / $562.34	Facility		$87.10	$208.93	$562.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $245.47	Professional		$67.61	$89.13	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $204.17	Professional		$147.91	$177.83	$204.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $33.88 / $79.43	Facility		$13.80	$33.88	$79.43
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $33.88 / $128.82	Professional		$13.80	$33.88	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,584.89 / $1,949.84	Facility		$812.83	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $151.36	Professional		$69.18	$100.00	$151.36