Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $501.19 / $870.96	Facility		$173.78	$501.19	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $1,047.13	Professional		$138.04	$165.96	$1,047.13
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 $87.10 / $199.53 / $416.87	Professional		$87.10	$199.53	$416.87
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 $199.53 / $316.23 / $549.54	Professional		$199.53	$316.23	$549.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $501.19 / $891.25	Facility		$173.78	$501.19	$891.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $891.25	Professional		$141.25	$190.55	$891.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $1,905.46	Facility		$186.21	$186.21	$1,905.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $1,905.46	Professional		$186.21	$186.21	$1,905.46
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 / $245.47	Professional		$77.62	$112.20	$245.47