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 $158.49 / $245.47 / $436.52	Professional		$158.49	$245.47	$436.52
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 $251.19 / $257.04 / $426.58	Professional		$251.19	$257.04	$426.58
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 $144.54 / $223.87 / $416.87	Professional		$144.54	$223.87	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $436.52	Professional		$316.23	$316.23	$436.52
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $426.58	Professional		$162.18	$269.15	$426.58
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 $158.49 / $263.03 / $660.69	Professional		$158.49	$263.03	$660.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $478.63	Professional		$309.03	$309.03	$478.63
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $407.38	Facility		$158.49	$158.49	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $407.38	Professional		$158.49	$158.49	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $891.25 / $3,890.45	Facility		$223.87	$891.25	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $380.19	Professional		$144.54	$234.42	$380.19