Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $309.03 / $512.86	Facility		$128.82	$309.03	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $257.04	Professional		$81.28	$102.33	$257.04
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $724.44 / $5,011.87	Facility		$549.54	$724.44	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $245.47	Professional		$95.50	$95.50	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $199.53 / $416.87	Facility		$120.23	$199.53	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $263.03	Professional		$64.57	$117.49	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $234.42	Professional		$85.11	$158.49	$234.42
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $269.15	Professional		$112.20	$162.18	$269.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $218.78	Facility		$165.96	$165.96	$218.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $309.03 / $512.86	Facility		$114.82	$309.03	$512.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $436.52	Professional		$85.11	$114.82	$436.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $123.03 / $309.03	Facility		$79.43	$123.03	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $165.96	Professional		$79.43	$123.03	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $147.91	Facility		$123.03	$123.03	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $169.82	Professional		$51.29	$74.13	$169.82