Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $467.74 / $758.58	Facility		$128.82	$467.74	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $512.86	Professional		$102.33	$123.03	$512.86
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $5,011.87	Facility		$660.69	$870.96	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $281.84	Professional		$112.20	$112.20	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $234.42 / $489.78	Facility		$114.82	$234.42	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $288.40	Professional		$75.86	$138.04	$288.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $275.42	Professional		$102.33	$190.55	$275.42
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $331.13	Professional		$138.04	$190.55	$331.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $537.03 / $1,096.48	Facility		$194.98	$537.03	$1,096.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $426.58 / $776.25	Facility		$128.82	$426.58	$776.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $512.86	Professional		$107.15	$144.54	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $457.09	Professional		$204.17	$204.17	$457.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $144.54 / $165.96	Facility		$123.03	$144.54	$165.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $165.96	Professional		$123.03	$144.54	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $173.78	Facility		$144.54	$144.54	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $223.87	Professional		$87.10	$144.54	$223.87