Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,890.45 / $8,317.64	Facility		$954.99	$3,890.45	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $691.83	Professional		$229.09	$331.13	$691.83
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 $338.84 / $338.84 / $588.84	Professional		$338.84	$338.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,412.54 / $3,981.07	Facility		$407.38	$1,412.54	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $588.84	Professional		$218.78	$331.13	$588.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $776.25	Professional		$407.38	$549.54	$776.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $630.96	Professional		$245.47	$398.11	$630.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,691.53 / $8,317.64	Facility		$912.01	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $933.25	Professional		$234.42	$380.19	$933.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $263.03 / $741.31	Facility		$245.47	$263.03	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $575.44 / $794.33	Professional		$263.03	$575.44	$794.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $190.55 / $407.38	Facility		$141.25	$190.55	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $190.55 / $407.38	Professional		$53.70	$190.55	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,398.83 / $8,128.31	Facility		$549.54	$2,398.83	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $501.19	Professional		$194.98	$295.12	$501.19