Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,691.53 / $8,317.64	Facility		$426.58	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $177.83	Professional		$50.12	$83.18	$177.83
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 $74.13 / $87.10 / $144.54	Professional		$74.13	$87.10	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $165.96	Professional		$56.23	$89.13	$165.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $151.36	Professional		$107.15	$138.04	$151.36
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $158.49	Professional		$57.54	$107.15	$158.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,290.87 / $7,762.47	Facility		$537.03	$2,290.87	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $234.42	Professional		$53.70	$93.33	$234.42
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $173.78	Facility		$154.88	$154.88	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $190.55	Professional		$123.03	$169.82	$190.55
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $91.20 / $309.03	Facility		$51.29	$91.20	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $309.03	Professional		$50.12	$83.18	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $524.81 / $3,890.45	Facility		$162.18	$524.81	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $138.04	Professional		$54.95	$81.28	$138.04