Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $5,370.32 / $8,511.38	Facility		$588.84	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $489.78	Professional		$151.36	$257.04	$489.78
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 $234.42 / $234.42 / $251.19	Professional		$234.42	$234.42	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $501.19	Professional		$154.88	$275.42	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $691.83	Professional		$398.11	$549.54	$691.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $549.54	Professional		$213.80	$371.54	$549.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,265.80 / $8,317.64	Facility		$724.44	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $741.31	Professional		$162.18	$295.12	$741.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $588.84	Facility		$562.34	$562.34	$588.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $407.38 / $707.95	Professional		$223.87	$407.38	$707.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $199.53 / $309.03	Facility		$93.33	$199.53	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $426.58	Professional		$147.91	$275.42	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $537.03 / $3,890.45	Facility		$194.98	$537.03	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $446.68	Professional		$154.88	$257.04	$446.68