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 $66.07 / $114.82 / $346.74	Professional		$66.07	$114.82	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $83.18	Professional		$64.57	$72.44	$83.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $117.49	Professional		$66.07	$75.86	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $151.36	Professional		$74.13	$97.72	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $112.20	Professional		$77.62	$100.00	$112.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $144.54	Professional		$70.79	$95.50	$144.54
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 $67.61 / $112.20 / $309.03	Professional		$67.61	$112.20	$309.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $151.36	Facility		$52.48	$52.48	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $120.23 / $165.96	Professional		$44.67	$120.23	$165.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $74.13 / $131.83	Facility		$56.23	$74.13	$131.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $74.13 / $309.03	Professional		$22.91	$74.13	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $154.88	Professional		$69.18	$91.20	$154.88