Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $512.86 / $512.86	Facility		$131.83	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $316.23	Professional		$123.03	$173.78	$316.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
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 $229.09 / $229.09 / $309.03	Professional		$229.09	$229.09	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $501.19	Professional		$245.47	$346.74	$501.19
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $263.03	Professional		$158.49	$186.21	$263.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $512.86	Facility		$131.83	$131.83	$512.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $380.19	Professional		$131.83	$181.97	$380.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $630.96	Professional		$0.60	$0.60	$630.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $309.03 / $478.63	Facility		$288.40	$309.03	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $1,548.82	Professional		$288.40	$309.03	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $524.81 / $630.96	Facility		$208.93	$524.81	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $354.81	Professional		$158.49	$213.80	$354.81