Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,691.53 / $8,317.64	Facility		$724.44	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $194.98	Professional		$38.02	$44.67	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $46.77	Professional		$35.48	$35.48	$46.77
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 $69.18 / $79.43 / $91.20	Professional		$69.18	$79.43	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $93.33	Professional		$40.74	$52.48	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $66.07	Professional		$45.71	$58.88	$66.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $109.65	Professional		$38.02	$57.54	$109.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,344.23 / $8,317.64	Facility		$588.84	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $194.98	Professional		$38.90	$52.48	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $100.00 / $309.03	Facility		$44.67	$100.00	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $50.12 / $309.03	Professional		$9.77	$50.12	$309.03
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 $38.90 / $51.29 / $93.33	Professional		$38.90	$51.29	$93.33