Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $575.44 / $1,096.48	Facility		$234.42	$575.44	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $416.87	Professional		$165.96	$208.93	$416.87
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 $199.53 / $234.42 / $234.42	Professional		$199.53	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $263.03 / $316.23	Facility		$75.86	$263.03	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $467.74	Professional		$141.25	$223.87	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $457.09	Professional		$229.09	$338.84	$457.09
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $416.87	Professional		$141.25	$245.47	$416.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $676.08 / $1,096.48	Facility		$263.03	$676.08	$1,096.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $562.34	Professional		$173.78	$229.09	$562.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $457.09	Facility		$354.81	$354.81	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $426.58	Professional		$173.78	$316.23	$426.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $177.83	Facility		$66.07	$66.07	$177.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $177.83	Professional		$56.23	$66.07	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $371.54 / $457.09	Facility		$194.98	$371.54	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $398.11	Professional		$134.90	$218.78	$398.11