Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $331.13 / $794.33	Facility		$131.83	$331.13	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $630.96	Professional		$91.20	$102.33	$630.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $812.83 / $5,011.87	Facility		$616.60	$812.83	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $275.42	Professional		$95.50	$95.50	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $204.17 / $426.58	Facility		$120.23	$204.17	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $251.19	Professional		$64.57	$131.83	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $162.18 / $199.53	Professional		$87.10	$162.18	$199.53
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $316.23	Professional		$134.90	$199.53	$316.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $338.84 / $707.95	Facility		$117.49	$338.84	$707.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $323.59 / $776.25	Facility		$128.82	$323.59	$776.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $512.86	Professional		$91.20	$114.82	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $91.20 / $186.21	Facility		$74.13	$91.20	$186.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $186.21	Professional		$74.13	$117.49	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $147.91	Facility		$123.03	$123.03	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $173.78	Professional		$52.48	$74.13	$173.78