Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $331.13 / $501.19	Facility		$162.18	$331.13	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $134.90	Professional		$81.28	$100.00	$134.90
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 $95.50 / $95.50 / $245.47	Professional		$95.50	$95.50	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $199.53 / $416.87	Facility		$120.23	$199.53	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $263.03	Professional		$128.82	$165.96	$263.03
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $269.15	Professional		$112.20	$162.18	$269.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $302.00 / $758.58	Facility		$288.40	$302.00	$758.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $302.00 / $501.19	Facility		$165.96	$302.00	$501.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $302.00	Professional		$81.28	$100.00	$302.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $165.96	Facility		$123.03	$165.96	$165.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $165.96	Professional		$123.03	$123.03	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $147.91	Facility		$123.03	$123.03	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $169.82	Professional		$51.29	$72.44	$169.82