Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $602.56 / $602.56	Facility		$371.54	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $288.40	Professional		$97.72	$120.23	$288.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,380.38 / $1,479.11	Facility		$741.31	$1,380.38	$1,479.11
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $354.81	Facility		$245.47	$245.47	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $331.13	Professional		$87.10	$158.49	$331.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $281.84	Professional		$102.33	$194.98	$281.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $380.19	Professional		$154.88	$218.78	$380.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $602.56 / $602.56	Facility		$371.54	$602.56	$602.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $537.03	Professional		$109.65	$125.89	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $478.63	Professional		$208.93	$208.93	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $309.03	Professional		$147.91	$199.53	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $147.91 / $245.47	Professional		$81.28	$147.91	$245.47