Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $208.93	Professional		$165.96	$173.78	$208.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $173.78 / $5,011.87	Facility		$147.91	$173.78	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $263.03	Professional		$151.36	$177.83	$263.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $208.93	Professional		$120.23	$158.49	$208.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $177.83 / $208.93	Professional		$165.96	$177.83	$208.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $229.09 / $245.47	Professional		$0.60	$229.09	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $10.00 / $123.03	Facility		$8.32	$10.00	$123.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.51 / $123.03	Professional		$6.46	$8.51	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $204.17	Professional		$125.89	$173.78	$204.17