Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,317.64	Facility		$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $489.78	Professional		$147.91	$173.78	$489.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $263.03	Professional		$245.47	$245.47	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $338.84	Professional		$162.18	$218.78	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $302.00	Professional		$177.83	$234.42	$302.00
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $323.59	Professional		$144.54	$199.53	$323.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $8,317.64	Facility		$954.99	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $575.44	Professional		$158.49	$229.09	$575.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $346.74	Facility		$257.04	$257.04	$346.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $234.42 / $354.81	Professional		$223.87	$234.42	$354.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $177.83 / $478.63	Facility		$165.96	$177.83	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $478.63	Professional		$162.18	$177.83	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $676.08 / $4,265.80	Facility		$144.54	$676.08	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $331.13	Professional		$144.54	$213.80	$331.13