Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $218.78 / $218.78	Facility		$56.23	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $117.49	Professional		$53.70	$64.57	$117.49
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 $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $131.83	Facility		$75.86	$75.86	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $251.19	Professional		$120.23	$169.82	$251.19
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $138.04	Professional		$83.18	$91.20	$138.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $218.78	Facility		$56.23	$56.23	$218.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $141.25	Professional		$54.95	$66.07	$141.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $208.93	Facility		$181.97	$181.97	$208.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $181.97 / $251.19	Professional		$0.60	$181.97	$251.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $128.82	Facility		$97.72	$97.72	$128.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $309.03	Professional		$83.18	$97.72	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $158.49 / $190.55	Facility		$57.54	$158.49	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $123.03	Professional		$47.86	$67.61	$123.03