Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $457.09 / $1,096.48	Facility		$190.55	$457.09	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $398.11	Professional		$134.90	$169.82	$398.11
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 $154.88 / $162.18 / $316.23	Professional		$154.88	$162.18	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $575.44 / $1,023.29	Facility		$223.87	$575.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $302.00	Professional		$112.20	$169.82	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $269.15	Professional		$229.09	$229.09	$269.15
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $190.55 / $323.59	Professional		$93.33	$190.55	$323.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $446.68 / $1,023.29	Facility		$190.55	$446.68	$1,023.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $537.03	Professional		$138.04	$173.78	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $363.08	Professional		$218.78	$275.42	$363.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $75.86 / $309.03	Facility		$19.50	$75.86	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $75.86 / $257.04	Professional		$21.88	$75.86	$257.04
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 $112.20 / $181.97 / $316.23	Professional		$112.20	$181.97	$316.23