Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $213.80 / $758.58	Facility		$57.54	$213.80	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $109.65 / $239.88	Professional		$38.90	$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 $107.15 / $125.89 / $218.78	Professional		$107.15	$125.89	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $331.13 / $912.01	Facility		$66.07	$331.13	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $123.03 / $245.47	Professional		$44.67	$123.03	$245.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $275.42	Professional		$141.25	$190.55	$275.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $257.04	Professional		$70.79	$173.78	$257.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,479.11 / $1,548.82	Facility		$616.60	$1,479.11	$1,548.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $223.87 / $436.52	Professional		$33.88	$223.87	$436.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $208.93 / $758.58	Facility		$48.98	$208.93	$758.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $112.20 / $281.84	Professional		$39.81	$112.20	$281.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $218.78 / $281.84	Facility		$190.55	$218.78	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $281.84	Professional		$204.17	$234.42	$281.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $48.98 / $123.03	Facility		$30.90	$48.98	$123.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $134.90	Professional		$30.90	$48.98	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $954.99 / $1,174.90	Facility		$501.19	$954.99	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $104.71 / $208.93	Professional		$38.90	$104.71	$208.93