Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $512.86 / $831.76	Facility		$199.53	$512.86	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $562.34	Professional		$138.04	$158.49	$562.34
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 $147.91 / $147.91 / $407.38	Professional		$147.91	$147.91	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $309.03 / $645.65	Facility		$165.96	$309.03	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $416.87	Professional		$107.15	$177.83	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $354.81	Professional		$131.83	$245.47	$354.81
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $478.63	Professional		$190.55	$269.15	$478.63
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $776.25	Facility		$630.96	$630.96	$776.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $478.63 / $831.76	Facility		$199.53	$478.63	$831.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $776.25	Professional		$138.04	$186.21	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $562.34	Professional		$263.03	$263.03	$562.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $190.55	Facility		$128.82	$177.83	$190.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $177.83 / $190.55	Professional		$29.51	$177.83	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $223.87	Facility		$190.55	$190.55	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $323.59	Professional		$112.20	$190.55	$323.59