Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $977.24 / $977.24	Facility		$251.19	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $501.19	Professional		$245.47	$302.00	$501.19
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 $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $676.08	Facility		$331.13	$331.13	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $331.13	Professional		$239.88	$239.88	$331.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,288.25	Professional		$630.96	$891.25	$1,288.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $630.96	Professional		$371.54	$436.52	$630.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $977.24	Facility		$251.19	$251.19	$977.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $630.96	Professional		$251.19	$309.03	$630.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $1,071.52	Facility		$251.19	$251.19	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $1,071.52	Professional		$208.93	$208.93	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $588.84	Facility		$436.52	$436.52	$588.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $588.84	Professional		$436.52	$478.63	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $707.95 / $851.14	Facility		$239.88	$707.95	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $549.54	Professional		$218.78	$309.03	$549.54