Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $478.63 / $776.25	Facility		$173.78	$478.63	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $338.84	Professional		$120.23	$151.36	$338.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $891.25 / $5,011.87	Facility		$676.08	$891.25	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $302.00	Professional		$144.54	$144.54	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $630.96	Facility		$181.97	$302.00	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $323.59	Professional		$85.11	$162.18	$323.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $354.81	Professional		$128.82	$239.88	$354.81
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $346.74	Professional		$138.04	$213.80	$346.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $467.74 / $776.25	Facility		$173.78	$467.74	$776.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $691.83	Professional		$120.23	$165.96	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $575.44	Professional		$263.03	$263.03	$575.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $141.25 / $204.17	Facility		$50.12	$141.25	$204.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $141.25 / $204.17	Professional		$50.12	$141.25	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $223.87	Facility		$186.21	$186.21	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $229.09	Professional		$77.62	$112.20	$229.09