Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $2,754.23	Facility		$162.18	$162.18	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $218.78	Professional		$162.18	$162.18	$218.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $371.54 / $467.74	Facility		$316.23	$371.54	$467.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $173.78	Professional		$162.18	$162.18	$173.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $295.12	Professional		$165.96	$295.12	$295.12
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $218.78	Professional		$120.23	$162.18	$218.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $2,754.23	Facility		$162.18	$162.18	$2,754.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $223.87	Professional		$162.18	$162.18	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $218.78 / $245.47	Professional		$0.60	$218.78	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $75.86 / $186.21	Facility		$30.20	$75.86	$186.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $75.86 / $186.21	Professional		$30.20	$75.86	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $426.58	Professional		$125.89	$190.55	$426.58