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 $107.15 / $169.82 / $363.08	Professional		$107.15	$169.82	$363.08
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $57,543.99	Facility		$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $316.23 / $316.23	Professional		$154.88	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $181.97 / $323.59	Facility		$100.00	$181.97	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $302.00	Professional		$107.15	$169.82	$302.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $380.19	Professional		$194.98	$269.15	$380.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $302.00	Professional		$114.82	$181.97	$302.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,344.23 / $8,317.64	Facility		$616.60	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $524.81	Professional		$109.65	$194.98	$524.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $169.82 / $371.54	Facility		$144.54	$169.82	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $331.13 / $389.05	Professional		$144.54	$331.13	$389.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $75.86 / $120.23	Facility		$17.38	$75.86	$120.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $234.42	Professional		$64.57	$112.20	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $676.08 / $3,019.95	Facility		$85.11	$676.08	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $257.04	Professional		$95.50	$154.88	$257.04