Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $380.19 / $380.19	Facility		$97.72	$380.19	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $194.98	Professional		$93.33	$114.82	$194.98
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 $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $218.78	Facility		$134.90	$134.90	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $134.90	Professional		$100.00	$100.00	$134.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $416.87	Professional		$204.17	$288.40	$416.87
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $239.88	Professional		$144.54	$158.49	$239.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $380.19	Facility		$97.72	$97.72	$380.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $263.03	Professional		$97.72	$120.23	$263.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $295.12 / $426.58	Professional		$0.60	$295.12	$426.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $416.87	Facility		$169.82	$169.82	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $398.11	Professional		$169.82	$213.80	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $295.12 / $354.81	Facility		$100.00	$295.12	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $213.80	Professional		$91.20	$117.49	$213.80