Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $741.31 / $1,230.27	Facility		$316.23	$741.31	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $537.03	Professional		$194.98	$239.88	$537.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $5,011.87	Facility		$1,071.52	$1,412.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $478.63	Professional		$229.09	$229.09	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $489.78 / $1,000.00	Facility		$288.40	$489.78	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $512.86	Professional		$138.04	$257.04	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $562.34	Professional		$208.93	$389.05	$562.34
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $562.34	Professional		$223.87	$323.59	$562.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $741.31 / $1,230.27	Facility		$275.42	$741.31	$1,230.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $1,047.13	Professional		$194.98	$269.15	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $323.59 / $398.11	Facility		$295.12	$323.59	$398.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $407.38	Professional		$295.12	$398.11	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $354.81	Facility		$295.12	$295.12	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $371.54	Professional		$123.03	$177.83	$371.54