Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,691.53 / $8,317.64	Facility		$724.44	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $95.50 / $257.04	Professional		$43.65	$95.50	$257.04
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 $89.13 / $141.25 / $208.93	Professional		$89.13	$141.25	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $208.93	Professional		$52.48	$102.33	$208.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $173.78	Professional		$123.03	$158.49	$173.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $125.89 / $181.97	Professional		$54.95	$125.89	$181.97
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,344.23 / $8,317.64	Facility		$616.60	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $107.15 / $309.03	Professional		$46.77	$107.15	$309.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $229.09	Facility		$102.33	$102.33	$229.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $257.04	Professional		$102.33	$181.97	$257.04
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $91.20 / $114.82	Facility		$47.86	$91.20	$114.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $91.20 / $186.21	Professional		$11.75	$91.20	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,584.89 / $3,890.45	Facility		$467.74	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $177.83	Professional		$48.98	$97.72	$177.83