Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,691.53 / $8,317.64	Facility		$660.69	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $239.88	Professional		$81.28	$112.20	$239.88
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $208.93	Professional		$123.03	$128.82	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $223.87	Professional		$89.13	$131.83	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $263.03	Professional		$154.88	$208.93	$263.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $263.03	Professional		$120.23	$165.96	$263.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $131.83	Professional		$97.72	$123.03	$131.83
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 $85.11 / $131.83 / $346.74	Professional		$85.11	$131.83	$346.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $251.19	Facility		$199.53	$199.53	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $257.04	Professional		$190.55	$239.88	$257.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $87.10 / $478.63	Facility		$29.51	$87.10	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $87.10 / $275.42	Professional		$29.51	$87.10	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,630.27 / $5,495.41	Facility		$1,000.00	$2,630.27	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $208.93	Professional		$85.11	$120.23	$208.93