Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $741.31 / $1,230.27	Facility		$309.03	$741.31	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $478.63	Professional		$190.55	$239.88	$478.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $5,011.87	Facility		$1,047.13	$1,412.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $478.63	Professional		$229.09	$229.09	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $478.63 / $1,000.00	Facility		$281.84	$478.63	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $501.19	Professional		$134.90	$257.04	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $549.54	Professional		$204.17	$380.19	$549.54
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $549.54	Professional		$218.78	$338.84	$549.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $616.60 / $851.14	Facility		$602.56	$616.60	$851.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $724.44 / $1,230.27	Facility		$309.03	$724.44	$1,230.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $1,047.13	Professional		$194.98	$263.03	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $407.38	Professional		$281.84	$281.84	$407.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $323.59 / $416.87	Facility		$57.54	$323.59	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $323.59 / $416.87	Professional		$57.54	$323.59	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $346.74	Facility		$288.40	$288.40	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $363.08	Professional		$123.03	$173.78	$363.08