Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,691.53 / $8,317.64	Facility		$588.84	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $302.00	Professional		$67.61	$125.89	$302.00
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 $109.65 / $162.18 / $162.18	Professional		$109.65	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $141.25 / $263.03	Professional		$75.86	$141.25	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $281.84	Professional		$199.53	$257.04	$281.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $177.83 / $275.42	Professional		$77.62	$177.83	$275.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,344.23 / $8,317.64	Facility		$588.84	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $151.36 / $398.11	Professional		$70.79	$151.36	$398.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $346.74	Facility		$223.87	$223.87	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $323.59	Professional		$194.98	$263.03	$323.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $112.20 / $346.74	Facility		$69.18	$112.20	$346.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $309.03	Professional		$69.18	$114.82	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $676.08 / $3,890.45	Facility		$223.87	$676.08	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $218.78	Professional		$72.44	$123.03	$218.78