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 $177.83 / $208.93 / $512.86	Professional		$177.83	$208.93	$512.86
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 $295.12 / $295.12 / $316.23	Professional		$295.12	$295.12	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $416.87	Professional		$194.98	$257.04	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $389.05	Professional		$229.09	$295.12	$389.05
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $407.38	Professional		$190.55	$251.19	$407.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,786.30 / $8,511.38	Facility		$831.76	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $660.69	Professional		$181.97	$269.15	$660.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $407.38	Facility		$295.12	$295.12	$407.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $407.38	Professional		$251.19	$281.84	$407.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $257.04 / $257.04	Facility		$199.53	$257.04	$257.04
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $204.17 / $851.14	Professional		$75.86	$204.17	$851.14
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 $173.78 / $245.47 / $398.11	Professional		$173.78	$245.47	$398.11