Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $588.84 / $588.84	Facility		$151.36	$588.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $316.23	Professional		$151.36	$194.98	$316.23
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 / $323.59 / $371.54	Professional		$257.04	$323.59	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $363.08	Facility		$245.47	$245.47	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $245.47	Professional		$177.83	$177.83	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $691.83	Professional		$331.13	$478.63	$691.83
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $371.54	Professional		$223.87	$251.19	$371.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $588.84	Facility		$151.36	$151.36	$588.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $426.58	Professional		$151.36	$194.98	$426.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $575.44	Facility		$158.49	$158.49	$575.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $489.78 / $707.95	Professional		$0.60	$489.78	$707.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $263.03 / $346.74	Facility		$169.82	$263.03	$346.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $354.81	Professional		$263.03	$263.03	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $478.63 / $575.44	Facility		$173.78	$478.63	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $331.13	Professional		$147.91	$181.97	$331.13