Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $912.01 / $912.01	Facility		$239.88	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $478.63	Professional		$223.87	$281.84	$478.63
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 $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $537.03	Facility		$338.84	$338.84	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $338.84	Professional		$251.19	$251.19	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,000.00	Professional		$489.78	$691.83	$1,000.00
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $549.54	Professional		$323.59	$371.54	$549.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $912.01	Facility		$239.88	$239.88	$912.01
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $501.19	Professional		$229.09	$281.84	$501.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $707.95 / $1,023.29	Professional		$0.60	$707.95	$1,023.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $512.86	Facility		$257.04	$257.04	$512.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $512.86	Professional		$257.04	$257.04	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $676.08 / $812.83	Facility		$223.87	$676.08	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $489.78	Professional		$239.88	$295.12	$489.78