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 $85.11 / $194.98 / $389.05	Professional		$85.11	$194.98	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $57,543.99	Facility		$3,801.89	$3,801.89	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $338.84	Professional		$177.83	$208.93	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $794.33 / $1,778.28	Facility		$151.36	$794.33	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $190.55 / $354.81	Professional		$91.20	$190.55	$354.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $478.63	Professional		$251.19	$338.84	$478.63
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $389.05	Professional		$123.03	$229.09	$389.05
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 $89.13 / $213.80 / $562.34	Professional		$89.13	$213.80	$562.34
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $194.98 / $457.09	Facility		$141.25	$194.98	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $407.38 / $501.19	Professional		$141.25	$407.38	$501.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $204.17 / $309.03	Facility		$87.10	$204.17	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $208.93 / $309.03	Professional		$81.28	$208.93	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,905.46 / $4,265.80	Facility		$549.54	$1,905.46	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $281.84	Professional		$85.11	$162.18	$281.84