Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $741.31 / $741.31	Facility		$194.98	$741.31	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $371.54	Professional		$186.21	$218.78	$371.54
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 $288.40 / $288.40 / $446.68	Facility		$288.40	$288.40	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $288.40	Professional		$208.93	$208.93	$288.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $831.76	Professional		$407.38	$575.44	$831.76
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 $263.03 / $309.03 / $446.68	Professional		$263.03	$309.03	$446.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $741.31	Facility		$194.98	$194.98	$741.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $389.05	Professional		$190.55	$223.87	$389.05
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 / $416.87	Professional		$309.03	$309.03	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $537.03 / $645.65	Facility		$177.83	$537.03	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $389.05	Professional		$194.98	$234.42	$389.05