Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $660.69 / $660.69	Facility		$173.78	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $380.19	Professional		$169.82	$213.80	$380.19
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 $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $426.58	Facility		$251.19	$251.19	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Professional		$181.97	$181.97	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $812.83	Professional		$389.05	$562.34	$812.83
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $426.58	Professional		$257.04	$302.00	$426.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $660.69	Facility		$173.78	$173.78	$660.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $407.38	Professional		$173.78	$218.78	$407.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $602.56 / $831.76	Professional		$0.60	$602.56	$831.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $302.00	Facility		$295.12	$295.12	$302.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $309.03	Professional		$295.12	$302.00	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $524.81 / $630.96	Facility		$190.55	$524.81	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $380.19	Professional		$158.49	$208.93	$380.19