Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $8,317.64	Facility		$831.76	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $269.15	Professional		$72.44	$85.11	$269.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $173.78	Professional		$120.23	$131.83	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $239.88	Professional		$77.62	$114.82	$239.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $114.82	Professional		$83.18	$104.71	$114.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $169.82	Professional		$77.62	$109.65	$169.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,344.23 / $8,317.64	Facility		$660.69	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $416.87	Professional		$77.62	$102.33	$416.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $158.49	Facility		$154.88	$154.88	$158.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $194.98	Professional		$104.71	$131.83	$194.98
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $147.91 / $309.03	Facility		$75.86	$147.91	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $309.03 / $309.03	Professional		$75.86	$309.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $158.49	Professional		$69.18	$95.50	$158.49