Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $288.40 / $446.68	Facility		$141.25	$288.40	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $117.49	Professional		$64.57	$85.11	$117.49
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 $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $162.18 / $363.08	Facility		$72.44	$162.18	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $234.42	Professional		$112.20	$144.54	$234.42
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $269.15	Professional		$114.82	$177.83	$269.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $269.15 / $446.68	Facility		$147.91	$269.15	$446.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $269.15	Professional		$64.57	$85.11	$269.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $117.49 / $218.78	Facility		$107.15	$117.49	$218.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $218.78	Professional		$85.11	$109.65	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $128.82	Facility		$107.15	$107.15	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $134.90	Professional		$44.67	$64.57	$134.90