Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $676.08 / $676.08	Facility		$173.78	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $346.74	Professional		$169.82	$213.80	$346.74
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 $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $398.11	Facility		$275.42	$275.42	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $288.40	Professional		$204.17	$204.17	$288.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $758.58	Professional		$363.08	$512.86	$758.58
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $398.11	Professional		$239.88	$275.42	$398.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $676.08	Facility		$173.78	$173.78	$676.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $354.81	Professional		$169.82	$213.80	$354.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $549.54 / $758.58	Professional		$0.60	$549.54	$758.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $371.54	Facility		$275.42	$275.42	$371.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $407.38	Professional		$275.42	$275.42	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $512.86 / $616.60	Facility		$251.19	$512.86	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $346.74	Professional		$173.78	$218.78	$346.74