Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $724.44 / $1,230.27	Facility		$363.08	$724.44	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $323.59	Professional		$169.82	$229.09	$323.59
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $389.05 / $851.14	Facility		$190.55	$389.05	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $616.60	Professional		$295.12	$380.19	$616.60
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $707.95	Professional		$309.03	$467.74	$707.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $724.44 / $1,230.27	Facility		$331.13	$724.44	$1,230.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $831.76	Professional		$169.82	$229.09	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $309.03 / $354.81	Facility		$281.84	$309.03	$354.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $416.87	Professional		$281.84	$354.81	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $338.84	Facility		$281.84	$281.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $354.81	Professional		$117.49	$169.82	$354.81