Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $8,317.64	Facility		$831.76	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $354.81	Professional		$107.15	$131.83	$354.81
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 $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $794.33 / $12,022.64	Facility		$199.53	$794.33	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $288.40	Professional		$104.71	$144.54	$288.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $223.87	Professional		$120.23	$162.18	$223.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $194.98	Professional		$93.33	$120.23	$194.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,344.23 / $8,317.64	Facility		$660.69	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $575.44	Professional		$109.65	$173.78	$575.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $234.42	Facility		$104.71	$104.71	$234.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $275.42	Professional		$104.71	$208.93	$275.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $309.03	Facility		$75.86	$114.82	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $114.82 / $309.03	Professional		$30.90	$114.82	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,630.78 / $17,782.79	Facility		$1,258.93	$3,630.78	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $213.80	Professional		$93.33	$128.82	$213.80