Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $251.19 / $407.38	Facility		$91.20	$251.19	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $83.18 / $177.83	Professional		$72.44	$83.18	$177.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $467.74 / $5,011.87	Facility		$354.81	$467.74	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $158.49	Professional		$75.86	$75.86	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $158.49 / $331.13	Facility		$95.50	$158.49	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $104.71 / $218.78	Professional		$45.71	$104.71	$218.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $186.21	Professional		$67.61	$128.82	$186.21
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $245.47	Professional		$97.72	$162.18	$245.47
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $245.47 / $407.38	Facility		$91.20	$245.47	$407.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $363.08	Professional		$72.44	$87.10	$363.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $109.65 / $117.49	Facility		$97.72	$109.65	$117.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $117.49	Professional		$97.72	$109.65	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $117.49	Facility		$97.72	$97.72	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $120.23	Professional		$40.74	$58.88	$120.23