Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $8,317.64	Facility		$831.76	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $295.12	Professional		$109.65	$177.83	$295.12
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 $147.91 / $173.78 / $288.40	Professional		$147.91	$173.78	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $891.25	Professional		$213.80	$234.42	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $316.23	Professional		$117.49	$138.04	$316.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $295.12 / $575.44	Professional		$123.03	$295.12	$575.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,344.23 / $8,317.64	Facility		$660.69	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $660.69	Professional		$109.65	$173.78	$660.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $199.53	Professional		$186.21	$186.21	$199.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $117.49 / $416.87	Facility		$93.33	$117.49	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $416.87	Professional		$95.50	$177.83	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,862.09 / $3,890.45	Facility		$501.19	$1,862.09	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $309.03	Professional		$147.91	$199.53	$309.03