Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $363.08 / $588.84	Facility		$162.18	$363.08	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $147.91	Professional		$79.43	$107.15	$147.91
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 $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $204.17 / $457.09	Facility		$89.13	$204.17	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $288.40	Professional		$141.25	$181.97	$288.40
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $338.84	Professional		$144.54	$223.87	$338.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $338.84 / $562.34	Facility		$158.49	$338.84	$562.34
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $398.11	Professional		$79.43	$109.65	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $134.90 / $147.91	Facility		$74.13	$134.90	$147.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $416.87	Professional		$74.13	$138.04	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $162.18	Facility		$134.90	$134.90	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $165.96	Professional		$56.23	$81.28	$165.96