Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $562.34 / $562.34	Facility		$549.54	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $1,000.00	Professional		$549.54	$549.54	$1,000.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,818.38	Facility		$1,905.46	$2,238.72	$2,818.38
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $575.44	Professional		$549.54	$549.54	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,122.02 / $1,318.26	Professional		$154.88	$1,122.02	$1,318.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $223.87	Professional		$120.23	$162.18	$223.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $562.34 / $562.34	Facility		$549.54	$562.34	$562.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $660.69	Professional		$549.54	$549.54	$660.69
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 $134.90 / $154.88 / $645.65	Facility		$134.90	$154.88	$645.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $309.03 / $645.65	Professional		$134.90	$309.03	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,137.96 / $2,691.53	Professional		$125.89	$2,137.96	$2,691.53