Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $794.33 / $794.33	Facility		$204.17	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $457.09	Professional		$186.21	$251.19	$457.09
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 / $380.19 / $467.74	Professional		$257.04	$380.19	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $478.63	Facility		$363.08	$363.08	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $363.08	Professional		$269.15	$269.15	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $912.01	Professional		$436.52	$630.96	$912.01
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $467.74	Professional		$281.84	$331.13	$467.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $794.33	Facility		$204.17	$204.17	$794.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $457.09	Professional		$190.55	$263.03	$457.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $645.65 / $933.25	Professional		$0.60	$645.65	$933.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $436.52	Facility		$218.78	$218.78	$436.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $524.81	Professional		$218.78	$218.78	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $588.84 / $707.95	Facility		$194.98	$588.84	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $426.58	Professional		$208.93	$251.19	$426.58