Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $3,981.07 / $8,317.64	Facility		$46.77	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $104.71 / $354.81	Professional		$50.12	$104.71	$354.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $194.98	Professional		$112.20	$173.78	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $104.71 / $169.82	Professional		$51.29	$104.71	$169.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $64.57 / $190.55	Professional		$7.24	$64.57	$190.55
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $199.53	Professional		$87.10	$131.83	$199.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $977.24	Facility		$30.20	$30.20	$977.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $114.82	Professional		$89.13	$112.20	$114.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,584.89 / $8,317.64	Facility		$104.71	$1,584.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $104.71 / $251.19	Professional		$48.98	$104.71	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $72.44 / $91.20	Facility		$11.75	$72.44	$91.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $56.23 / $112.20	Professional		$11.75	$56.23	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $616.60 / $3,890.45	Facility		$223.87	$616.60	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $165.96	Professional		$50.12	$93.33	$165.96