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 $169.82 / $218.78 / $436.52	Professional		$169.82	$218.78	$436.52
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 $263.03 / $288.40 / $389.05	Professional		$263.03	$288.40	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $398.11	Professional		$177.83	$239.88	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $389.05	Professional		$223.87	$309.03	$389.05
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $380.19	Professional		$131.83	$229.09	$380.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,398.83 / $8,317.64	Facility		$616.60	$2,398.83	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $602.56	Professional		$186.21	$269.15	$602.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $457.09	Facility		$263.03	$263.03	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $457.09	Professional		$239.88	$288.40	$457.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $181.97 / $223.87	Facility		$75.86	$181.97	$223.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $478.63	Professional		$75.86	$181.97	$478.63
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 $162.18 / $229.09 / $380.19	Professional		$162.18	$229.09	$380.19