Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $537.03 / $537.03	Facility		$138.04	$537.03	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $338.84	Professional		$131.83	$177.83	$338.84
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 $173.78 / $257.04 / $316.23	Professional		$173.78	$257.04	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $380.19	Facility		$263.03	$263.03	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Professional		$194.98	$194.98	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $724.44	Professional		$354.81	$501.19	$724.44
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 / $223.87 / $316.23	Professional		$190.55	$223.87	$316.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $537.03	Facility		$138.04	$138.04	$537.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $346.74	Professional		$134.90	$194.98	$346.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $512.86 / $741.31	Professional		$0.60	$512.86	$741.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $295.12	Facility		$147.91	$147.91	$295.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $295.12 / $467.74	Professional		$147.91	$295.12	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $416.87 / $501.19	Facility		$138.04	$416.87	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $302.00	Professional		$141.25	$186.21	$302.00