Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,754.40 / $8,511.38	Facility		$831.76	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $630.96	Professional		$213.80	$251.19	$630.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $398.11	Professional		$204.17	$239.88	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $524.81 / $870.96	Facility		$398.11	$524.81	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $524.81	Professional		$204.17	$281.84	$524.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $426.58	Professional		$234.42	$316.23	$426.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $389.05	Professional		$218.78	$245.47	$389.05
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $741.31	Professional		$218.78	$316.23	$741.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $467.74	Facility		$239.88	$239.88	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $489.78	Professional		$239.88	$398.11	$489.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $229.09 / $478.63	Facility		$32.36	$229.09	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $234.42 / $478.63	Professional		$32.36	$234.42	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,089.30 / $6,309.57	Facility		$316.23	$2,089.30	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $426.58	Professional		$194.98	$257.04	$426.58