Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $5,370.32 / $8,511.38	Facility		$537.03	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $134.90	Professional		$38.02	$72.44	$134.90
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 $61.66 / $89.13 / $109.65	Professional		$61.66	$89.13	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $144.54	Professional		$42.66	$75.86	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $131.83	Professional		$93.33	$120.23	$131.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $93.33 / $138.04	Professional		$43.65	$93.33	$138.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,981.07 / $8,317.64	Facility		$588.84	$3,981.07	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.62 / $181.97	Professional		$39.81	$77.62	$181.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $154.88	Facility		$138.04	$138.04	$154.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $173.78	Professional		$104.71	$147.91	$173.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $83.18 / $112.20	Facility		$39.81	$83.18	$112.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $158.49	Professional		$38.02	$72.44	$158.49
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 $40.74 / $69.18 / $114.82	Professional		$40.74	$69.18	$114.82