Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,691.53 / $8,317.64	Facility		$724.44	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $1,096.48 / $3,090.30	Professional		$186.21	$1,096.48	$3,090.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $3,388.44	Professional		$1,513.56	$2,884.03	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $446.68 / $3,388.44	Professional		$204.17	$446.68	$3,388.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,090.30	Professional		$3,019.95	$3,019.95	$3,090.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $2,344.23 / $3,388.44	Professional		$218.78	$2,344.23	$3,388.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,454.71 / $8,317.64	Facility		$537.03	$2,454.71	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,412.54 / $4,466.84	Professional		$194.98	$1,412.54	$4,466.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $2,344.23 / $5,623.41	Professional		$190.55	$2,344.23	$5,623.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $199.53 / $2,041.74	Facility		$194.98	$199.53	$2,041.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $309.03 / $1,995.26	Professional		$114.82	$309.03	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $676.08 / $4,265.80	Facility		$144.54	$676.08	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $1,348.96 / $3,235.94	Professional		$194.98	$1,348.96	$3,235.94