Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $8,317.64	Facility		$831.76	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $1,023.29	Professional		$169.82	$208.93	$1,023.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $323.59 / $323.59	Professional		$309.03	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $398.11	Professional		$186.21	$251.19	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $302.00	Professional		$213.80	$275.42	$302.00
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $245.47 / $380.19	Professional		$181.97	$245.47	$380.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,344.23 / $8,317.64	Facility		$660.69	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $1,023.29	Professional		$177.83	$257.04	$1,023.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $416.87	Facility		$269.15	$269.15	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $407.38	Professional		$239.88	$316.23	$407.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $213.80 / $309.03	Facility		$199.53	$213.80	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $309.03	Professional		$147.91	$213.80	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,000.00	Facility		$1,348.96	$3,548.13	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $398.11	Professional		$181.97	$229.09	$398.11