Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $549.54 / $870.96	Facility		$186.21	$549.54	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $426.58	Professional		$151.36	$181.97	$426.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $5,011.87	Facility		$2,089.30	$2,754.23	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $331.13 / $676.08	Facility		$194.98	$331.13	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $213.80 / $457.09	Professional		$93.33	$213.80	$457.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $380.19	Professional		$141.25	$263.03	$380.19
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 $213.80 / $338.84 / $575.44	Professional		$213.80	$338.84	$575.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $549.54 / $870.96	Facility		$186.21	$549.54	$870.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $741.31	Professional		$151.36	$223.87	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $199.53 / $602.56	Facility		$79.43	$199.53	$602.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $602.56	Professional		$79.43	$199.53	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $239.88	Facility		$199.53	$199.53	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $251.19	Professional		$83.18	$120.23	$251.19