Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $398.11 / $912.01	Facility		$141.25	$398.11	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $316.23	Professional		$104.71	$128.82	$316.23
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 $120.23 / $125.89 / $269.15	Professional		$120.23	$125.89	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $467.74 / $1,023.29	Facility		$194.98	$467.74	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $257.04	Professional		$97.72	$165.96	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $218.78	Professional		$181.97	$181.97	$218.78
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 $112.20 / $165.96 / $263.03	Professional		$112.20	$165.96	$263.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $331.13 / $575.44	Facility		$141.25	$331.13	$575.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $389.05	Professional		$107.15	$141.25	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $346.74	Professional		$190.55	$269.15	$346.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $95.50 / $177.83	Facility		$12.59	$95.50	$177.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $112.20 / $177.83	Professional		$50.12	$112.20	$177.83
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 $109.65 / $141.25 / $229.09	Professional		$109.65	$141.25	$229.09