Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $562.34 / $1,318.26	Facility		$213.80	$562.34	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $457.09	Professional		$154.88	$190.55	$457.09
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 $177.83 / $181.97 / $354.81	Professional		$177.83	$181.97	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $741.31 / $1,380.38	Facility		$257.04	$741.31	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $354.81	Professional		$141.25	$218.78	$354.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $309.03	Professional		$257.04	$257.04	$309.03
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $363.08	Professional		$128.82	$234.42	$363.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $512.86 / $870.96	Facility		$213.80	$512.86	$870.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $616.60	Professional		$162.18	$204.17	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $407.38	Professional		$275.42	$346.74	$407.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $70.79 / $158.49	Facility		$13.80	$70.79	$158.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $75.86 / $181.97	Professional		$16.22	$75.86	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,584.89 / $1,949.84	Facility		$812.83	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $363.08	Professional		$154.88	$213.80	$363.08