Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $478.63 / $478.63	Facility		$125.89	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $295.12	Professional		$123.03	$173.78	$295.12
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 $169.82 / $245.47 / $309.03	Professional		$169.82	$245.47	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $309.03	Facility		$190.55	$190.55	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $190.55	Professional		$138.04	$138.04	$190.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $588.84	Professional		$288.40	$407.38	$588.84
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $309.03	Professional		$186.21	$218.78	$309.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $478.63	Facility		$125.89	$125.89	$478.63
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $323.59	Professional		$125.89	$177.83	$323.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $489.78	Facility		$144.54	$144.54	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $478.63	Professional		$120.23	$120.23	$478.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $288.40	Facility		$218.78	$218.78	$288.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $295.12	Professional		$218.78	$218.78	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $416.87 / $501.19	Facility		$141.25	$416.87	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $281.84	Professional		$125.89	$151.36	$281.84