Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $245.47 / $245.47	Facility		$61.66	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $102.33	Professional		$51.29	$69.18	$102.33
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 $91.20 / $91.20 / $134.90	Facility		$91.20	$91.20	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $91.20	Professional		$67.61	$67.61	$91.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $251.19	Professional		$123.03	$173.78	$251.19
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 / $102.33 / $154.88	Professional		$93.33	$102.33	$154.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $245.47	Facility		$61.66	$61.66	$245.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $134.90	Professional		$52.48	$72.44	$134.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $177.83 / $257.04	Professional		$0.60	$177.83	$257.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $109.65 / $144.54	Facility		$75.86	$109.65	$144.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $467.74	Professional		$72.44	$109.65	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $154.88 / $186.21	Facility		$54.95	$154.88	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $134.90	Professional		$51.29	$75.86	$134.90