Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $5,370.32 / $8,511.38	Facility		$588.84	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $213.80	Professional		$63.10	$91.20	$213.80
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 $107.15 / $162.18 / $181.97	Professional		$107.15	$162.18	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $169.82	Professional		$66.07	$102.33	$169.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $199.53	Professional		$141.25	$181.97	$199.53
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $208.93	Professional		$89.13	$138.04	$208.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,265.80 / $8,317.64	Facility		$724.44	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $275.42	Professional		$63.10	$100.00	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $100.00 / $109.65	Facility		$70.79	$100.00	$109.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $120.23	Professional		$70.79	$100.00	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,318.26 / $3,890.45	Facility		$223.87	$1,318.26	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $169.82	Professional		$64.57	$97.72	$169.82