Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $338.84 / $338.84	Facility		$87.10	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $162.18	Professional		$79.43	$104.71	$162.18
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 $117.49 / $173.78 / $218.78	Professional		$117.49	$173.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $186.21	Facility		$112.20	$112.20	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $114.82	Professional		$81.28	$81.28	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $354.81	Professional		$173.78	$245.47	$354.81
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $218.78	Professional		$128.82	$141.25	$218.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $338.84	Facility		$87.10	$87.10	$338.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $218.78	Professional		$81.28	$109.65	$218.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $251.19 / $363.08	Professional		$0.60	$251.19	$363.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $204.17	Facility		$151.36	$151.36	$204.17
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $371.54	Professional		$151.36	$173.78	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $245.47 / $295.12	Facility		$89.13	$245.47	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $186.21	Professional		$74.13	$107.15	$186.21