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 / $131.83 / $316.23	Professional		$104.71	$131.83	$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 $177.83 / $467.74 / $1,023.29	Facility		$177.83	$467.74	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $363.08	Professional		$104.71	$213.80	$363.08
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 $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $323.59	Professional		$144.54	$204.17	$323.59
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 / $144.54 / $389.05	Professional		$107.15	$144.54	$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 $12.59 / $95.50 / $177.83	Professional		$12.59	$95.50	$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 / $162.18 / $302.00	Professional		$109.65	$162.18	$302.00