Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $5,370.32 / $8,511.38	Facility		$537.03	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $190.55	Professional		$56.23	$107.15	$190.55
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $177.83 / $269.15	Professional		$91.20	$177.83	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $208.93	Professional		$60.26	$109.65	$208.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $190.55	Professional		$134.90	$173.78	$190.55
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $186.21	Professional		$63.10	$123.03	$186.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,981.07 / $8,317.64	Facility		$588.84	$3,981.07	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $120.23 / $275.42	Professional		$58.88	$120.23	$275.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $234.42	Facility		$77.62	$77.62	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $199.53 / $251.19	Professional		$81.28	$199.53	$251.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $72.44 / $77.62	Facility		$46.77	$72.44	$77.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $117.49	Professional		$46.77	$74.13	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,148.15 / $3,890.45	Facility		$223.87	$1,148.15	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $93.33 / $169.82	Professional		$52.48	$93.33	$169.82