Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $724.44 / $1,096.48	Facility		$380.19	$724.44	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $524.81	Professional		$354.81	$363.08	$524.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $389.05 / $5,011.87	Facility		$331.13	$389.05	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $371.54	Professional		$354.81	$354.81	$371.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $436.52	Professional		$338.84	$338.84	$436.52
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $707.95	Professional		$354.81	$467.74	$707.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $724.44 / $1,096.48	Facility		$363.08	$724.44	$1,096.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $602.56	Professional		$354.81	$363.08	$602.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $30.20 / $660.69	Professional		$0.60	$30.20	$660.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $371.54 / $416.87	Facility		$323.59	$371.54	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $371.54 / $758.58	Professional		$165.96	$371.54	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $380.19 / $426.58	Professional		$346.74	$380.19	$426.58