Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $707.95 / $1,202.26	Facility		$346.74	$707.95	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $316.23	Professional		$162.18	$223.87	$316.23
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $380.19 / $812.83	Facility		$181.97	$380.19	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $602.56	Professional		$288.40	$371.54	$602.56
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $691.83	Professional		$295.12	$457.09	$691.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $707.95 / $1,202.26	Facility		$323.59	$707.95	$1,202.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $812.83	Professional		$162.18	$223.87	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $229.09 / $302.00	Facility		$114.82	$229.09	$302.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $275.42 / $407.38	Professional		$114.82	$275.42	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $331.13	Facility		$275.42	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $346.74	Professional		$114.82	$165.96	$346.74