Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $331.13 / $676.08	Facility		$114.82	$331.13	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $147.91	Professional		$87.10	$107.15	$147.91
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 $208.93 / $213.80 / $380.19	Professional		$208.93	$213.80	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $199.53 / $575.44	Facility		$75.86	$199.53	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $234.42	Professional		$85.11	$147.91	$234.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $1,621.81	Professional		$380.19	$426.58	$1,621.81
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $363.08	Professional		$173.78	$194.98	$363.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $302.00 / $676.08	Facility		$114.82	$302.00	$676.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $165.96	Professional		$91.20	$107.15	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $457.09	Professional		$239.88	$239.88	$457.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $120.23 / $194.98	Facility		$28.84	$120.23	$194.98
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $128.82 / $478.63	Professional		$28.84	$128.82	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $676.08 / $831.76	Facility		$354.81	$676.08	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $346.74	Professional		$114.82	$213.80	$346.74