Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $676.08 / $1,096.48	Facility		$245.47	$676.08	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $426.58	Professional		$169.82	$208.93	$426.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $5,011.87	Facility		$954.99	$1,258.93	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $398.11 / $758.58	Facility		$169.82	$398.11	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $281.84 / $588.84	Professional		$123.03	$281.84	$588.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $338.84 / $489.78	Professional		$123.03	$338.84	$489.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $575.44	Professional		$263.03	$389.05	$575.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $1,174.90	Facility		$257.04	$257.04	$1,174.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $645.65 / $1,096.48	Facility		$245.47	$645.65	$1,096.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $776.25	Professional		$169.82	$218.78	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $288.40 / $288.40	Facility		$263.03	$288.40	$288.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $316.23	Professional		$263.03	$288.40	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $263.03 / $309.03	Facility		$144.54	$263.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $346.74	Professional		$109.65	$154.88	$346.74