Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $5,370.32 / $8,511.38	Facility		$588.84	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $141.25	Professional		$41.69	$70.79	$141.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $57,543.99	Facility		$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $81.28	Professional		$74.13	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $147.91	Professional		$48.98	$81.28	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $144.54	Professional		$102.33	$131.83	$144.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $147.91	Professional		$56.23	$102.33	$147.91
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,265.80 / $8,317.64	Facility		$724.44	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $199.53	Professional		$41.69	$79.43	$199.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $169.82	Facility		$91.20	$91.20	$169.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $173.78	Professional		$83.18	$131.83	$173.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $50.12 / $147.91	Facility		$47.86	$50.12	$147.91
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $147.91	Professional		$33.88	$50.12	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $724.44 / $3,890.45	Facility		$223.87	$724.44	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $125.89	Professional		$48.98	$77.62	$125.89