Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $575.44 / $891.25	Facility		$218.78	$575.44	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $467.74	Professional		$162.18	$199.53	$467.74
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 $173.78 / $181.97 / $398.11	Professional		$173.78	$181.97	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $575.44 / $1,023.29	Facility		$269.15	$575.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $398.11	Professional		$147.91	$251.19	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $316.23	Professional		$263.03	$263.03	$316.23
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $371.54	Professional		$158.49	$239.88	$371.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $489.78 / $891.25	Facility		$218.78	$489.78	$891.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $630.96	Professional		$169.82	$223.87	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $512.86	Professional		$281.84	$407.38	$512.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $123.03 / $338.84	Facility		$34.67	$123.03	$338.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $123.03 / $338.84	Professional		$42.66	$123.03	$338.84
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 $169.82 / $218.78 / $371.54	Professional		$169.82	$218.78	$371.54