Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $524.81 / $933.25	Facility		$208.93	$524.81	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $489.78	Professional		$109.65	$162.18	$489.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,288.25 / $5,011.87	Facility		$977.24	$1,288.25	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $446.68	Professional		$154.88	$154.88	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $676.08	Facility		$194.98	$323.59	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $407.38	Professional		$104.71	$213.80	$407.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $380.19	Professional		$138.04	$257.04	$380.19
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $501.19	Professional		$213.80	$302.00	$501.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $616.60 / $912.01	Facility		$398.11	$616.60	$912.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $524.81 / $891.25	Facility		$208.93	$524.81	$891.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $741.31	Professional		$138.04	$186.21	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $302.00	Facility		$74.13	$74.13	$302.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $199.53 / $302.00	Professional		$74.13	$199.53	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $239.88	Facility		$199.53	$199.53	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $275.42	Professional		$83.18	$117.49	$275.42