Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $338.84 / $338.84	Facility		$87.10	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $181.97	Professional		$75.86	$97.72	$181.97
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 $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $190.55	Facility		$120.23	$120.23	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $363.08	Professional		$173.78	$251.19	$363.08
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $218.78	Professional		$128.82	$141.25	$218.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $338.84	Facility		$87.10	$87.10	$338.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $186.21	Professional		$81.28	$100.00	$186.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $257.04 / $371.54	Professional		$0.60	$257.04	$371.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $204.17 / $309.03	Facility		$151.36	$204.17	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $416.87	Professional		$151.36	$204.17	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $229.09 / $275.42	Facility		$77.62	$229.09	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $190.55	Professional		$70.79	$104.71	$190.55