Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $1,862.09	Facility		$165.96	$165.96	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $363.08	Professional		$128.82	$151.36	$363.08
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 $144.54 / $208.93 / $251.19	Professional		$144.54	$208.93	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $891.25 / $1,071.52	Facility		$190.55	$891.25	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $234.42	Professional		$95.50	$147.91	$234.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $257.04	Professional		$181.97	$229.09	$257.04
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $389.05	Professional		$128.82	$169.82	$389.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $1,862.09	Facility		$165.96	$165.96	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $389.05	Professional		$128.82	$158.49	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $81.28 / $144.54	Facility		$22.91	$81.28	$144.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $74.13 / $144.54	Professional		$22.91	$74.13	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,174.90 / $1,445.44	Facility		$616.60	$1,174.90	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $263.03	Professional		$97.72	$141.25	$263.03