Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $724.44 / $912.01	Facility		$309.03	$724.44	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $363.08	Professional		$295.12	$309.03	$363.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $346.74 / $5,011.87	Facility		$295.12	$346.74	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $724.44 / $912.01	Facility		$309.03	$724.44	$912.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $501.19	Professional		$295.12	$309.03	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $380.19	Facility		$346.74	$346.74	$380.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $380.19	Professional		$346.74	$346.74	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $398.11	Professional		$302.00	$302.00	$398.11