Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $407.38 / $14,125.38	Facility		$173.78	$407.38	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $380.19	Professional		$173.78	$173.78	$380.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $190.55 / $5,011.87	Facility		$158.49	$190.55	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Professional		$173.78	$173.78	$181.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $213.80	Professional		$173.78	$181.97	$213.80
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $173.78 / $295.12	Professional		$83.18	$173.78	$295.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $177.83 / $478.63	Facility		$144.54	$177.83	$478.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $194.98	Professional		$186.21	$194.98	$194.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $338.84 / $12,022.64	Facility		$173.78	$338.84	$12,022.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $302.00	Professional		$173.78	$177.83	$302.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $165.96 / $295.12	Professional		$0.60	$165.96	$295.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $165.96 / $199.53	Facility		$144.54	$165.96	$199.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $436.52	Professional		$144.54	$199.53	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $218.78	Professional		$173.78	$186.21	$218.78