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 $151.36 / $194.98 / $616.60	Professional		$151.36	$194.98	$616.60
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 $158.49 / $186.21 / $309.03	Professional		$158.49	$186.21	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $794.33 / $3,981.07	Facility		$309.03	$794.33	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $389.05	Professional		$147.91	$218.78	$389.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $363.08	Professional		$194.98	$263.03	$363.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $302.00	Professional		$144.54	$190.55	$302.00
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 $165.96 / $257.04 / $660.69	Professional		$165.96	$257.04	$660.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $199.53 / $371.54	Facility		$169.82	$199.53	$371.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $371.54	Professional		$169.82	$316.23	$371.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $173.78 / $933.25	Facility		$97.72	$173.78	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $186.21 / $933.25	Professional		$87.10	$186.21	$933.25
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 $141.25 / $186.21 / $316.23	Professional		$141.25	$186.21	$316.23