Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $478.63	Professional		$147.91	$208.93	$478.63
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $389.05	Professional		$229.09	$331.13	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $398.11	Professional		$154.88	$223.87	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $512.86	Professional		$295.12	$407.38	$512.86
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $407.38	Professional		$162.18	$257.04	$407.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $194.98	Professional		$169.82	$190.55	$194.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,801.89 / $8,317.64	Facility		$831.76	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $562.34	Professional		$158.49	$257.04	$562.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $467.74	Facility		$239.88	$239.88	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $478.63	Professional		$269.15	$309.03	$478.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $218.78 / $467.74	Facility		$33.88	$218.78	$467.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $213.80 / $467.74	Professional		$33.88	$213.80	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,000.00	Facility		$2,089.30	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $354.81	Professional		$151.36	$218.78	$354.81