Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $602.56	Professional		$275.42	$338.84	$602.56
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $588.84	Professional		$309.03	$363.08	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $676.08	Professional		$316.23	$389.05	$676.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $724.44	Professional		$371.54	$512.86	$724.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $389.05 / $630.96	Professional		$316.23	$389.05	$630.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $870.96	Professional		$302.00	$371.54	$870.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $234.42 / $691.83	Facility		$213.80	$234.42	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $562.34 / $691.83	Professional		$213.80	$562.34	$691.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $338.84 / $354.81	Professional		$331.13	$338.84	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $575.44	Professional		$263.03	$338.84	$575.44