Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $151.36 / $263.03	Facility		$112.20	$151.36	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $239.88	Professional		$93.33	$109.65	$239.88
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 $91.20 / $107.15 / $194.98	Professional		$91.20	$107.15	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $83.18 / $125.89	Facility		$64.57	$83.18	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $194.98	Professional		$77.62	$112.20	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $165.96	Professional		$138.04	$138.04	$165.96
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $173.78	Professional		$66.07	$112.20	$173.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $933.25	Facility		$234.42	$234.42	$933.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $151.36 / $263.03	Facility		$112.20	$151.36	$263.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $269.15	Professional		$95.50	$114.82	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $269.15	Professional		$190.55	$204.17	$269.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $100.00 / $114.82	Facility		$30.90	$100.00	$114.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $100.00 / $114.82	Professional		$30.90	$100.00	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $112.20 / $114.82	Facility		$102.33	$112.20	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $194.98	Professional		$63.10	$107.15	$194.98