Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $245.47 / $416.87	Facility		$89.13	$245.47	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $173.78	Professional		$70.79	$77.62	$173.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $602.56 / $5,011.87	Facility		$457.09	$602.56	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $204.17	Professional		$74.13	$74.13	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $154.88 / $323.59	Facility		$93.33	$154.88	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $102.33 / $186.21	Professional		$50.12	$102.33	$186.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $181.97	Professional		$66.07	$123.03	$181.97
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $239.88	Professional		$100.00	$147.91	$239.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $158.49 / $436.52	Facility		$123.03	$158.49	$436.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $239.88 / $416.87	Facility		$89.13	$239.88	$416.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $338.84	Professional		$70.79	$85.11	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.04 / $158.49	Facility		$95.50	$138.04	$158.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $194.98	Professional		$69.18	$95.50	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $114.82	Facility		$95.50	$95.50	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $131.83	Professional		$39.81	$56.23	$131.83