Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $489.78 / $489.78	Facility		$125.89	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $616.60	Professional		$91.20	$165.96	$616.60
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 $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $316.23	Facility		$177.83	$177.83	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $190.55	Professional		$128.82	$128.82	$190.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $602.56	Professional		$288.40	$416.87	$602.56
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $316.23	Professional		$190.55	$218.78	$316.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,047.13	Facility		$707.95	$707.95	$1,047.13
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $234.42	Professional		$208.93	$218.78	$234.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $489.78	Facility		$125.89	$125.89	$489.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $398.11	Professional		$125.89	$173.78	$398.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $501.19	Facility		$128.82	$128.82	$501.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $501.19	Professional		$107.15	$107.15	$501.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $416.87 / $758.58	Facility		$218.78	$416.87	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $218.78 / $416.87	Professional		$125.89	$218.78	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $389.05 / $457.09	Facility		$141.25	$389.05	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $281.84	Professional		$117.49	$154.88	$281.84