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 $42.66 / $83.18 / $245.47	Professional		$42.66	$83.18	$245.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $363.08 / $691.83	Professional	50	$125.89	$363.08	$691.83
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 $79.43 / $81.28 / $199.53	Professional		$79.43	$81.28	$199.53
Capital Blue Cross Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $141.25 / $295.12	Professional	50	$117.49	$141.25	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $100.00 / $173.78	Professional		$48.98	$100.00	$173.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $165.96	Professional		$95.50	$131.83	$165.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $199.53	Professional		$79.43	$112.20	$199.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
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 $43.65 / $107.15 / $257.04	Professional		$43.65	$107.15	$257.04
Martin's Point Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $363.08 / $691.83	Professional	50	$125.89	$363.08	$691.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $173.78	Facility		$165.96	$165.96	$173.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $208.93	Professional		$131.83	$177.83	$208.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $107.15 / $158.49	Facility		$26.92	$107.15	$158.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $138.04	Professional		$26.92	$57.54	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $831.76 / $3,890.45	Facility		$223.87	$831.76	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $147.91	Professional		$43.65	$81.28	$147.91