Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $478.63 / $758.58	Facility		$213.80	$478.63	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $199.53	Professional		$104.71	$141.25	$199.53
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 $134.90 / $134.90 / $288.40	Professional		$134.90	$134.90	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $263.03 / $602.56	Facility		$117.49	$263.03	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $380.19	Professional		$181.97	$234.42	$380.19
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $331.13	Professional		$131.83	$199.53	$331.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $446.68 / $724.44	Facility		$204.17	$446.68	$724.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $512.86	Professional		$104.71	$144.54	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $190.55 / $190.55	Facility		$173.78	$190.55	$190.55
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $190.55	Professional		$173.78	$177.83	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $208.93	Facility		$173.78	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $218.78	Professional		$74.13	$104.71	$218.78