Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $741.31 / $741.31	Facility		$190.55	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $363.08	Professional		$181.97	$223.87	$363.08
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 $257.04 / $380.19 / $467.74	Professional		$257.04	$380.19	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $524.81	Facility		$251.19	$251.19	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Professional		$181.97	$181.97	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,000.00	Professional		$478.63	$691.83	$1,000.00
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $467.74	Professional		$281.84	$331.13	$467.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $741.31	Facility		$190.55	$190.55	$741.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $478.63	Professional		$190.55	$229.09	$478.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $691.83 / $1,000.00	Professional		$0.60	$691.83	$1,000.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $436.52	Facility		$331.13	$331.13	$436.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $436.52	Professional		$331.13	$331.13	$436.52
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 $169.82 / $229.09 / $416.87	Professional		$169.82	$229.09	$416.87