Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $812.83 / $1,412.54	Facility		$275.42	$812.83	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $588.84	Professional		$213.80	$263.03	$588.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $537.03	Professional		$251.19	$251.19	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $1,096.48	Facility		$316.23	$537.03	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $489.78	Professional		$147.91	$309.03	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $616.60	Professional		$229.09	$426.58	$616.60
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $812.83	Professional		$316.23	$489.78	$812.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $478.63 / $660.69	Facility		$234.42	$478.63	$660.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $812.83 / $1,348.96	Facility		$302.00	$812.83	$1,348.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $1,148.15	Professional		$218.78	$295.12	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $323.59 / $588.84	Facility		$245.47	$323.59	$588.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $588.84	Professional		$245.47	$323.59	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $389.05	Facility		$323.59	$323.59	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $407.38	Professional		$134.90	$194.98	$407.38