Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $239.88 / $239.88	Facility		$61.66	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $134.90	Professional		$61.66	$89.13	$134.90
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 $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $154.88	Facility		$97.72	$97.72	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $97.72	Professional		$70.79	$70.79	$97.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $295.12	Professional		$141.25	$199.53	$295.12
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $154.88	Professional		$93.33	$107.15	$154.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $112.20	Professional		$102.33	$102.33	$112.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $239.88	Facility		$61.66	$61.66	$239.88
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $177.83	Professional		$61.66	$91.20	$177.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $204.17 / $295.12	Professional		$0.60	$204.17	$295.12
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $144.54	Facility		$107.15	$107.15	$144.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $346.74	Professional		$107.15	$114.82	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $204.17 / $245.47	Facility		$74.13	$204.17	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $141.25	Professional		$61.66	$75.86	$141.25