Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $645.65 / $645.65	Facility		$165.96	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $380.19	Professional		$165.96	$223.87	$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 $223.87 / $331.13 / $416.87	Professional		$223.87	$331.13	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $436.52	Facility		$251.19	$251.19	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $251.19	Professional		$186.21	$186.21	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $831.76	Professional		$407.38	$575.44	$831.76
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $416.87	Professional		$245.47	$288.40	$416.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $645.65	Facility		$165.96	$165.96	$645.65
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $512.86	Professional		$169.82	$229.09	$512.86
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $588.84 / $851.14	Professional		$0.60	$588.84	$851.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $389.05	Facility		$288.40	$288.40	$389.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $426.58	Professional		$288.40	$389.05	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $549.54 / $660.69	Facility		$199.53	$549.54	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $371.54	Professional		$165.96	$204.17	$371.54