Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $3,981.07	Facility		$181.97	$181.97	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $446.68	Professional		$173.78	$239.88	$446.68
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 $223.87 / $331.13 / $416.87	Professional		$223.87	$331.13	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $416.87	Facility		$251.19	$251.19	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $251.19	Professional		$194.98	$194.98	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $776.25	Professional		$380.19	$537.03	$776.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $416.87	Professional		$245.47	$288.40	$416.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $3,981.07	Facility		$181.97	$181.97	$3,981.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $446.68	Professional		$173.78	$251.19	$446.68
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $549.54 / $794.33	Professional		$0.60	$549.54	$794.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $389.05	Facility		$281.84	$281.84	$389.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $416.87	Professional		$281.84	$389.05	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $204.17 / $309.03	Facility		$151.36	$204.17	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $398.11	Professional		$181.97	$229.09	$398.11