Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,754.40 / $8,511.38	Facility		$831.76	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $323.59	Professional		$102.33	$120.23	$323.59
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 $158.49 / $213.80 / $257.04	Professional		$158.49	$213.80	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $501.19 / $870.96	Facility		$190.55	$501.19	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $251.19	Professional		$104.71	$134.90	$251.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $204.17	Professional		$112.20	$151.36	$204.17
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $186.21	Professional		$102.33	$120.23	$186.21
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $416.87	Professional		$104.71	$154.88	$416.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $158.49 / $223.87	Facility		$138.04	$158.49	$223.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $234.42	Professional		$138.04	$199.53	$234.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $109.65 / $138.04	Facility		$74.13	$109.65	$138.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $467.74	Professional		$74.13	$112.20	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,089.30 / $6,309.57	Facility		$316.23	$2,089.30	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $204.17	Professional		$93.33	$125.89	$204.17