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 $102.33 / $208.93 / $426.58	Professional		$102.33	$208.93	$426.58
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $199.53	Professional		$147.91	$158.49	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $645.65 / $3,715.35	Facility		$177.83	$645.65	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $371.54	Professional		$104.71	$194.98	$371.54
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 $263.03 / $363.08 / $501.19	Professional		$263.03	$363.08	$501.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $239.88 / $398.11	Professional		$102.33	$239.88	$398.11
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 $107.15 / $229.09 / $602.56	Professional		$107.15	$229.09	$602.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $257.04 / $489.78	Facility		$158.49	$257.04	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $436.52 / $562.34	Professional		$158.49	$436.52	$562.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $218.78 / $309.03	Facility		$102.33	$218.78	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $213.80 / $309.03	Professional		$74.13	$213.80	$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 $95.50 / $169.82 / $302.00	Professional		$95.50	$169.82	$302.00