Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $281.84 / $281.84	Facility		$72.44	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $177.83	Professional		$67.61	$87.10	$177.83
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 $91.20 / $134.90 / $169.82	Professional		$91.20	$134.90	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $162.18	Facility		$100.00	$100.00	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $100.00	Professional		$72.44	$72.44	$100.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $309.03	Professional		$151.36	$213.80	$309.03
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $169.82	Professional		$100.00	$114.82	$169.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $281.84	Facility		$72.44	$72.44	$281.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $190.55	Professional		$67.61	$91.20	$190.55
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $218.78 / $316.23	Professional		$0.60	$218.78	$316.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $158.49	Facility		$79.43	$79.43	$158.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $158.49	Professional		$79.43	$151.36	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $218.78 / $263.03	Facility		$72.44	$218.78	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $154.88	Professional		$74.13	$91.20	$154.88