Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,691.53 / $8,317.64	Facility		$758.58	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $194.98 / $389.05	Professional		$95.50	$194.98	$389.05
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 $181.97 / $213.80 / $269.15	Professional		$181.97	$213.80	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,995.26 / $3,981.07	Facility		$169.82	$1,995.26	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $186.21 / $354.81	Professional		$87.10	$186.21	$354.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $288.40 / $478.63	Professional		$114.82	$288.40	$478.63
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $223.87 / $389.05	Professional		$72.44	$223.87	$389.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,398.83 / $8,317.64	Facility		$660.69	$2,398.83	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $218.78 / $562.34	Professional		$100.00	$218.78	$562.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $194.98 / $467.74	Facility		$141.25	$194.98	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $426.58 / $537.03	Professional		$141.25	$426.58	$537.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $112.20 / $309.03	Facility		$50.12	$112.20	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $128.82 / $309.03	Professional		$50.12	$128.82	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,951.21 / $8,317.64	Facility		$851.14	$2,951.21	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $281.84	Professional		$83.18	$158.49	$281.84