Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $407.38 / $660.69	Facility		$181.97	$407.38	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $173.78	Professional		$89.13	$120.23	$173.78
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 $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $239.88 / $512.86	Facility		$147.91	$239.88	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $323.59	Professional		$158.49	$204.17	$323.59
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $380.19	Professional		$162.18	$251.19	$380.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $380.19 / $630.96	Facility		$177.83	$380.19	$630.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $446.68	Professional		$89.13	$123.03	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $251.19	Professional		$165.96	$223.87	$251.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $117.49 / $165.96	Facility		$93.33	$117.49	$165.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $691.83	Professional		$66.07	$109.65	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $186.21	Professional		$63.10	$89.13	$186.21