Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $1,584.89	Facility		$177.83	$177.83	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $331.13	Professional		$158.49	$194.98	$331.13
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 $218.78 / $323.59 / $407.38	Professional		$218.78	$323.59	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $371.54	Facility		$229.09	$229.09	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $229.09	Professional		$194.98	$194.98	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $707.95	Professional		$346.74	$489.78	$707.95
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $263.03 / $407.38	Professional		$239.88	$263.03	$407.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $1,584.89	Facility		$177.83	$177.83	$1,584.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $380.19	Professional		$158.49	$208.93	$380.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $501.19 / $724.44	Professional		$0.60	$501.19	$724.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $1,288.25	Facility		$275.42	$275.42	$1,288.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $1,288.25	Professional		$275.42	$380.19	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $181.97 / $281.84	Facility		$138.04	$181.97	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $354.81	Professional		$173.78	$213.80	$354.81