Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $794.33 / $794.33	Facility		$204.17	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $398.11	Professional		$199.53	$234.42	$398.11
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 $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $467.74	Facility		$295.12	$295.12	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $295.12	Professional		$213.80	$213.80	$295.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $891.25	Professional		$426.58	$616.60	$891.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $467.74	Professional		$281.84	$331.13	$467.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $794.33	Facility		$204.17	$204.17	$794.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $416.87	Professional		$199.53	$234.42	$416.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $660.69 / $912.01	Professional		$0.60	$660.69	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $436.52	Facility		$81.28	$81.28	$436.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $436.52 / $912.01	Professional		$81.28	$436.52	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $575.44 / $691.83	Facility		$190.55	$575.44	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $416.87	Professional		$208.93	$245.47	$416.87