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 $47.86 / $134.90 / $269.15	Professional		$47.86	$134.90	$269.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $257.04	Professional		$128.82	$162.18	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $134.90 / $251.19	Professional		$53.70	$134.90	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $269.15	Professional		$190.55	$245.47	$269.15
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $165.96 / $257.04	Professional		$58.88	$165.96	$257.04
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 $50.12 / $138.04 / $407.38	Professional		$50.12	$138.04	$407.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $338.84	Facility		$134.90	$134.90	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $302.00	Professional		$134.90	$234.42	$302.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $147.91 / $208.93	Facility		$48.98	$147.91	$208.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $162.18	Professional		$48.98	$74.13	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,398.83 / $4,265.80	Facility		$1,000.00	$2,398.83	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $112.20 / $213.80	Professional		$51.29	$112.20	$213.80