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 $114.82 / $131.83 / $338.84	Professional		$114.82	$131.83	$338.84
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 $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $302.00	Professional		$117.49	$165.96	$302.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $213.80	Professional		$128.82	$151.36	$213.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $295.12	Professional		$117.49	$151.36	$295.12
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 $117.49 / $173.78 / $457.09	Professional		$117.49	$173.78	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $275.42	Professional		$173.78	$181.97	$275.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $181.97	Facility		$117.49	$117.49	$181.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $257.04	Professional		$117.49	$123.03	$257.04
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 $117.49 / $144.54 / $257.04	Professional		$117.49	$144.54	$257.04