Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $707.95 / $1,148.15	Facility		$257.04	$707.95	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $501.19	Professional		$181.97	$223.87	$501.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $5,011.87	Facility		$1,000.00	$1,318.26	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $446.68	Professional		$213.80	$213.80	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $446.68 / $933.25	Facility		$269.15	$446.68	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $478.63	Professional		$125.89	$239.88	$478.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $524.81	Professional		$190.55	$363.08	$524.81
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $524.81	Professional		$204.17	$316.23	$524.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $691.83 / $1,148.15	Facility		$257.04	$691.83	$1,148.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $1,023.29	Professional		$181.97	$245.47	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $575.44	Professional		$389.05	$389.05	$575.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $229.09 / $302.00	Facility		$114.82	$229.09	$302.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $275.42 / $407.38	Professional		$114.82	$275.42	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $331.13	Facility		$275.42	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $346.74	Professional		$114.82	$165.96	$346.74