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 $46.77 / $114.82 / $245.47	Professional		$46.77	$114.82	$245.47
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $213.80	Professional		$120.23	$125.89	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $109.65 / $257.04	Professional		$48.98	$109.65	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $257.04	Professional		$154.88	$177.83	$257.04
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $186.21 / $363.08	Professional		$56.23	$186.21	$363.08
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 $51.29 / $125.89 / $323.59	Professional		$51.29	$125.89	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $562.34	Professional		$194.98	$275.42	$562.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $169.82 / $549.54	Facility		$48.98	$169.82	$549.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $131.83 / $549.54	Professional		$48.98	$131.83	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $676.08 / $4,265.80	Facility		$144.54	$676.08	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $109.65 / $257.04	Professional		$47.86	$109.65	$257.04