Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $776.25 / $1,258.93	Facility		$245.47	$776.25	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $245.47 / $457.09	Professional		$61.66	$245.47	$457.09
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 $213.80 / $234.42 / $234.42	Professional		$213.80	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $489.78 / $1,023.29	Facility		$295.12	$489.78	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $263.03 / $446.68	Professional		$40.74	$263.03	$446.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $575.44	Professional		$208.93	$389.05	$575.44
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $446.68 / $758.58	Professional		$85.11	$446.68	$758.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $758.58 / $1,258.93	Facility		$213.80	$758.58	$1,258.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $257.04 / $758.58	Professional		$66.07	$257.04	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $446.68	Facility		$97.72	$97.72	$446.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $302.00 / $446.68	Professional		$97.72	$302.00	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $363.08	Facility		$302.00	$302.00	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $371.54	Professional		$79.43	$173.78	$371.54