Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $213.80 / $398.11	Facility		$114.82	$213.80	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $158.49	Professional		$81.28	$114.82	$158.49
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 $85.11 / $97.72 / $100.00	Professional		$85.11	$97.72	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $125.89 / $269.15	Facility		$64.57	$125.89	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $144.54 / $295.12	Professional		$85.11	$144.54	$295.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $81.28	Professional		$34.67	$34.67	$81.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $177.83 / $275.42	Facility		$112.20	$177.83	$275.42
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $165.96	Professional		$87.10	$114.82	$165.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $66.07	Facility		$56.23	$56.23	$66.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $66.07	Professional		$56.23	$56.23	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $213.80	Professional		$107.15	$151.36	$213.80