Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $724.44 / $724.44	Facility		$186.21	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $467.74	Professional		$181.97	$245.47	$467.74
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 $234.42 / $338.84 / $426.58	Professional		$234.42	$338.84	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $549.54	Facility		$363.08	$363.08	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $363.08	Professional		$263.03	$263.03	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,047.13	Professional		$501.19	$707.95	$1,047.13
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $426.58	Professional		$257.04	$302.00	$426.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $724.44	Facility		$186.21	$186.21	$724.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $501.19	Professional		$181.97	$251.19	$501.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $724.44 / $1,047.13	Professional		$0.60	$724.44	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $512.86	Professional		$199.53	$199.53	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $575.44 / $676.08	Facility		$190.55	$575.44	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $407.38	Professional		$190.55	$257.04	$407.38