Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $117.49 / $229.09	Facility		$75.86	$117.49	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $275.42	Professional		$64.57	$75.86	$275.42
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $128.82	Professional		$64.57	$75.86	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $79.43 / $229.09	Facility		$64.57	$79.43	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $141.25	Professional		$54.95	$87.10	$141.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $114.82	Professional		$95.50	$95.50	$114.82
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $275.42	Facility		$120.23	$120.23	$275.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $97.72 / $162.18	Professional		$53.70	$97.72	$162.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $102.33 / $229.09	Facility		$75.86	$102.33	$229.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $223.87	Professional		$67.61	$89.13	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $181.97	Professional		$109.65	$131.83	$181.97
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $93.33 / $100.00	Facility		$21.38	$93.33	$100.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $72.44 / $100.00	Professional		$21.38	$72.44	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $77.62 / $79.43	Facility		$70.79	$77.62	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $134.90	Professional		$51.29	$79.43	$134.90