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 $109.65 / $128.82 / $338.84	Professional		$109.65	$128.82	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
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 $109.65 / $165.96 / $239.88	Professional		$109.65	$165.96	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $257.04	Professional		$120.23	$165.96	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $213.80	Professional		$144.54	$181.97	$213.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $245.47	Professional		$120.23	$158.49	$245.47
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 $109.65 / $151.36 / $436.52	Professional		$109.65	$151.36	$436.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $251.19	Facility		$128.82	$128.82	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $204.17 / $269.15	Professional		$128.82	$204.17	$269.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $123.03	Facility		$109.65	$109.65	$123.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $251.19	Professional		$85.11	$123.03	$251.19
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 $120.23 / $158.49 / $257.04	Professional		$120.23	$158.49	$257.04