Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $426.58 / $602.56	Facility		$208.93	$426.58	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $323.59	Professional		$194.98	$199.53	$323.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $5,011.87	Facility		$181.97	$213.80	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Professional		$194.98	$194.98	$204.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $239.88	Professional		$190.55	$190.55	$239.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $389.05	Professional		$194.98	$257.04	$389.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $354.81 / $602.56	Facility		$199.53	$354.81	$602.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $338.84	Professional		$194.98	$199.53	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $30.20 / $354.81	Professional		$0.60	$30.20	$354.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $181.97 / $218.78	Facility		$154.88	$181.97	$218.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $309.03	Professional		$154.88	$218.78	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $234.42	Professional		$190.55	$208.93	$234.42