Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $363.08 / $363.08	Facility		$93.33	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $190.55	Professional		$87.10	$123.03	$190.55
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 $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $218.78	Facility		$151.36	$151.36	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $151.36	Professional		$109.65	$109.65	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $416.87	Professional		$199.53	$281.84	$416.87
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $234.42	Professional		$141.25	$151.36	$234.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $194.98	Professional		$154.88	$154.88	$194.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $363.08	Facility		$93.33	$93.33	$363.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $257.04	Professional		$91.20	$131.83	$257.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $346.74	Facility		$131.83	$131.83	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $346.74	Professional		$131.83	$131.83	$346.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $218.78	Facility		$158.49	$158.49	$218.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $416.87	Professional		$112.20	$158.49	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $288.40 / $346.74	Facility		$97.72	$288.40	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $208.93	Professional		$89.13	$114.82	$208.93