Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,786.30 / $8,317.64	Facility		$831.76	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $616.60	Professional		$169.82	$302.00	$616.60
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $331.13 / $616.60	Professional		$323.59	$331.13	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $602.56	Professional		$181.97	$316.23	$602.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $660.69	Professional		$389.05	$537.03	$660.69
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $398.11 / $575.44	Professional		$181.97	$398.11	$575.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $8,317.64	Facility		$954.99	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $338.84 / $912.01	Professional		$173.78	$338.84	$912.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $691.83	Facility		$524.81	$524.81	$691.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $776.25	Professional		$524.81	$562.34	$776.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $407.38	Facility		$114.82	$114.82	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $407.38	Professional		$114.82	$177.83	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $22,387.21	Facility		$1,348.96	$3,548.13	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $549.54	Professional		$177.83	$316.23	$549.54