Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $616.60 / $1,000.00	Facility		$223.87	$616.60	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $436.52	Professional		$112.20	$190.55	$436.52
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 $186.21 / $186.21 / $263.03	Professional		$186.21	$186.21	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $389.05 / $812.83	Facility		$234.42	$389.05	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $223.87 / $354.81	Professional		$75.86	$223.87	$354.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $457.09	Professional		$165.96	$309.03	$457.09
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $363.08 / $676.08	Professional		$154.88	$363.08	$676.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $588.84 / $1,000.00	Facility		$223.87	$588.84	$1,000.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $602.56	Professional		$151.36	$204.17	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $177.83 / $239.88	Facility		$74.13	$177.83	$239.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $239.88 / $245.47	Professional		$74.13	$239.88	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Facility		$239.88	$239.88	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $295.12	Professional		$100.00	$141.25	$295.12