Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $141.25 / $223.87	Facility		$74.13	$141.25	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $109.65	Professional		$72.44	$74.13	$109.65
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $79.43 / $5,011.87	Facility		$67.61	$79.43	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $75.86	Professional		$74.13	$74.13	$75.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $91.20	Professional		$74.13	$79.43	$91.20
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $77.62 / $125.89	Professional		$45.71	$77.62	$125.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $141.25 / $223.87	Facility		$74.13	$141.25	$223.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $123.03	Professional		$72.44	$74.13	$123.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $30.20 / $128.82	Professional		$0.60	$30.20	$128.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $85.11 / $190.55	Facility		$63.10	$85.11	$190.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $72.44 / $295.12	Professional		$11.48	$72.44	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $89.13	Professional		$70.79	$77.62	$89.13