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 $169.82 / $199.53 / $537.03	Professional		$169.82	$199.53	$537.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $295.12	Professional		$275.42	$275.42	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $389.05	Professional		$181.97	$239.88	$389.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $346.74	Professional		$199.53	$263.03	$346.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $363.08	Professional		$162.18	$223.87	$363.08
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 $177.83 / $263.03 / $707.95	Professional		$177.83	$263.03	$707.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $389.05	Facility		$281.84	$281.84	$389.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $389.05	Professional		$239.88	$251.19	$389.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $208.93 / $478.63	Facility		$190.55	$208.93	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $208.93 / $478.63	Professional		$64.57	$208.93	$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 $162.18 / $239.88 / $371.54	Professional		$162.18	$239.88	$371.54