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 $128.82 / $151.36 / $316.23	Professional		$128.82	$151.36	$316.23
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 $194.98 / $208.93 / $229.09	Professional		$194.98	$208.93	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $302.00	Professional		$128.82	$173.78	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $371.54	Professional		$213.80	$295.12	$371.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $302.00	Professional		$123.03	$208.93	$302.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,344.23 / $8,317.64	Facility		$616.60	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $457.09	Professional		$134.90	$194.98	$457.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $316.23	Facility		$162.18	$162.18	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $346.74	Professional		$165.96	$208.93	$346.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $112.20 / $309.03	Facility		$23.99	$112.20	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $147.91 / $416.87	Professional		$45.71	$147.91	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $676.08 / $3,890.45	Facility		$223.87	$676.08	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $281.84	Professional		$120.23	$165.96	$281.84