Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $446.68 / $741.31	Facility		$162.18	$446.68	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $323.59	Professional		$114.82	$144.54	$323.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $851.14 / $5,011.87	Facility		$630.96	$851.14	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $288.40	Professional		$138.04	$138.04	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $288.40 / $602.56	Facility		$169.82	$288.40	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $302.00	Professional		$81.28	$154.88	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $331.13	Professional		$123.03	$229.09	$331.13
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $331.13	Professional		$131.83	$199.53	$331.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $436.52 / $741.31	Facility		$162.18	$436.52	$741.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $645.65	Professional		$114.82	$158.49	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $245.47	Professional		$131.83	$131.83	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $173.78 / $309.03	Facility		$97.72	$173.78	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $309.03	Professional		$97.72	$173.78	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $208.93	Facility		$173.78	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $218.78	Professional		$74.13	$104.71	$218.78