Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $660.69 / $660.69	Facility		$169.82	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $371.54	Professional		$169.82	$234.42	$371.54
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 $275.42 / $275.42 / $478.63	Facility		$275.42	$275.42	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $275.42	Professional		$199.53	$199.53	$275.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $891.25	Professional		$436.52	$616.60	$891.25
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 $251.19 / $295.12 / $426.58	Professional		$251.19	$295.12	$426.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $309.03	Professional		$288.40	$288.40	$309.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $660.69	Facility		$169.82	$169.82	$660.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $501.19	Professional		$169.82	$245.47	$501.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $758.58	Facility		$288.40	$288.40	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $630.96 / $912.01	Professional		$0.60	$630.96	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $295.12 / $389.05	Facility		$239.88	$295.12	$389.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $467.74	Professional		$295.12	$309.03	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $562.34 / $676.08	Facility		$204.17	$562.34	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $380.19	Professional		$169.82	$208.93	$380.19