Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $758.58 / $758.58	Facility		$194.98	$758.58	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $380.19	Professional		$190.55	$218.78	$380.19
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 $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $446.68	Facility		$316.23	$316.23	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $316.23	Professional		$234.42	$234.42	$316.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $851.14	Professional		$407.38	$588.84	$851.14
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $446.68	Professional		$269.15	$309.03	$446.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $758.58	Facility		$194.98	$194.98	$758.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $398.11	Professional		$190.55	$223.87	$398.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $616.60 / $851.14	Professional		$0.60	$616.60	$851.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Facility		$309.03	$309.03	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $426.58	Professional		$309.03	$309.03	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $549.54 / $645.65	Facility		$181.97	$549.54	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $398.11	Professional		$194.98	$234.42	$398.11