Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $331.13 / $478.63	Facility		$125.89	$331.13	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $263.03	Professional		$87.10	$107.15	$263.03
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 $100.00 / $104.71 / $208.93	Professional		$100.00	$104.71	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $389.05 / $1,023.29	Facility		$154.88	$389.05	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $229.09	Professional		$87.10	$154.88	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $177.83	Professional		$151.36	$151.36	$177.83
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 $109.65 / $141.25 / $218.78	Professional		$109.65	$141.25	$218.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,258.93	Facility		$812.83	$1,071.52	$1,258.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $309.03 / $467.74	Facility		$125.89	$309.03	$467.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $323.59	Professional		$91.20	$117.49	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $263.03	Professional		$158.49	$204.17	$263.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $93.33 / $190.55	Facility		$16.98	$93.33	$190.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $95.50 / $524.81	Professional		$16.98	$95.50	$524.81
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 $93.33 / $128.82 / $199.53	Professional		$93.33	$128.82	$199.53