Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $199.53 / $199.53	Facility		$52.48	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $109.65	Professional		$52.48	$64.57	$109.65
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 $70.79 / $102.33 / $128.82	Professional		$70.79	$102.33	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $134.90	Facility		$79.43	$79.43	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $79.43	Professional		$58.88	$58.88	$79.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $257.04	Professional		$123.03	$173.78	$257.04
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $128.82	Professional		$77.62	$91.20	$128.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $89.13	Professional		$85.11	$85.11	$89.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $199.53	Facility		$52.48	$52.48	$199.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $147.91	Professional		$52.48	$66.07	$147.91
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $213.80	Facility		$63.10	$63.10	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $204.17	Professional		$52.48	$52.48	$204.17
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $120.23	Facility		$91.20	$91.20	$120.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $309.03	Professional		$91.20	$117.49	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $165.96 / $199.53	Facility		$61.66	$165.96	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $114.82	Professional		$51.29	$63.10	$114.82