Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $229.09 / $229.09	Facility		$57.54	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $128.82	Professional		$57.54	$72.44	$128.82
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 $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $144.54	Facility		$81.28	$81.28	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Professional		$60.26	$60.26	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $275.42	Professional		$134.90	$190.55	$275.42
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $144.54	Professional		$87.10	$102.33	$144.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $229.09	Facility		$57.54	$57.54	$229.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $177.83	Professional		$57.54	$75.86	$177.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $194.98 / $281.84	Professional		$0.60	$194.98	$281.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $102.33 / $134.90	Facility		$74.13	$102.33	$134.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $309.03	Professional		$102.33	$134.90	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $177.83 / $213.80	Facility		$64.57	$177.83	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $128.82	Professional		$54.95	$70.79	$128.82