Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $616.60 / $616.60	Facility		$158.49	$616.60	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $263.03	Professional		$123.03	$162.18	$263.03
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 $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $371.54	Facility		$169.82	$169.82	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $190.55	Professional		$125.89	$125.89	$190.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $707.95	Professional		$338.84	$489.78	$707.95
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $363.08	Professional		$218.78	$257.04	$363.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $616.60	Facility		$158.49	$158.49	$616.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $269.15	Professional		$128.82	$169.82	$269.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $501.19 / $724.44	Professional		$0.60	$501.19	$724.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $338.84	Facility		$169.82	$169.82	$338.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $346.74	Professional		$169.82	$169.82	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $371.54 / $446.68	Facility		$123.03	$371.54	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $323.59	Professional		$134.90	$190.55	$323.59