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 $63.10 / $89.13 / $181.97	Professional		$63.10	$89.13	$181.97
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 $102.33 / $104.71 / $104.71	Professional		$102.33	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $177.83	Professional		$66.07	$100.00	$177.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $234.42	Professional		$134.90	$186.21	$234.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $190.55	Professional		$77.62	$128.82	$190.55
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 $67.61 / $107.15 / $251.19	Professional		$67.61	$107.15	$251.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $213.80	Facility		$204.17	$204.17	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $239.88	Professional		$102.33	$173.78	$239.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $67.61 / $97.72	Facility		$56.23	$67.61	$97.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $104.71	Professional		$46.77	$69.18	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $758.58 / $3,890.45	Facility		$223.87	$758.58	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $95.50 / $158.49	Professional		$61.66	$95.50	$158.49