Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,317.64	Facility		$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $537.03	Professional		$177.83	$208.93	$537.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $295.12 / $331.13	Professional		$275.42	$295.12	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,659.59 / $3,890.45	Facility		$331.13	$1,659.59	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $416.87	Professional		$173.78	$234.42	$416.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $363.08	Professional		$190.55	$257.04	$363.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $323.59	Professional		$173.78	$204.17	$323.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $8,317.64	Facility		$954.99	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $812.83	Professional		$186.21	$275.42	$812.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $234.42 / $398.11	Facility		$229.09	$234.42	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $426.58	Professional		$229.09	$338.84	$426.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $194.98 / $478.63	Facility		$190.55	$194.98	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $478.63	Professional		$190.55	$239.88	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,951.21 / $9,549.93	Facility		$851.14	$2,951.21	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $331.13	Professional		$154.88	$208.93	$331.13