Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $457.09 / $758.58	Facility		$181.97	$457.09	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $512.86	Professional		$128.82	$147.91	$512.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,230.27 / $5,011.87	Facility		$912.01	$1,230.27	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $389.05	Professional		$134.90	$134.90	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $281.84 / $588.84	Facility		$158.49	$281.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $389.05	Professional		$102.33	$165.96	$389.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $331.13	Professional		$120.23	$229.09	$331.13
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $446.68	Professional		$181.97	$257.04	$446.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $457.09 / $758.58	Facility		$181.97	$457.09	$758.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $707.95	Professional		$131.83	$162.18	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $257.04	Professional		$245.47	$245.47	$257.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $208.93 / $239.88	Facility		$173.78	$208.93	$239.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $208.93 / $239.88	Professional		$173.78	$208.93	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $208.93	Facility		$173.78	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $309.03	Professional		$104.71	$173.78	$309.03