Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $5,370.32 / $8,511.38	Facility		$724.44	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $263.03	Professional		$66.07	$79.43	$263.03
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 $57.54 / $67.61 / $104.71	Professional		$57.54	$67.61	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $134.90	Professional		$69.18	$87.10	$134.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $93.33	Professional		$89.13	$89.13	$93.33
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $151.36	Professional		$72.44	$87.10	$151.36
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 $69.18 / $89.13 / $229.09	Professional		$69.18	$89.13	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $169.82	Professional		$85.11	$89.13	$169.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $66.07 / $85.11	Facility		$53.70	$66.07	$85.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $64.57 / $112.20	Professional		$28.84	$64.57	$112.20
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 $61.66 / $85.11 / $138.04	Professional		$61.66	$85.11	$138.04