Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,754.40 / $8,511.38	Facility		$831.76	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $91.20	Professional		$33.11	$39.81	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $72.44	Professional		$41.69	$41.69	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $83.18	Professional		$42.66	$54.95	$83.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $66.07	Professional		$45.71	$56.23	$66.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $79.43	Professional		$39.81	$53.70	$79.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $117.49	Professional		$34.67	$46.77	$117.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $83.18	Facility		$69.18	$69.18	$83.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $91.20	Professional		$56.23	$66.07	$91.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $61.66 / $309.03	Facility		$25.70	$61.66	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $61.66	Professional		$25.70	$40.74	$61.66
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 $38.90 / $48.98 / $85.11	Professional		$38.90	$48.98	$85.11