Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $30,902.95 / $33,113.11	Facility		$218.78	$30,902.95	$33,113.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $380.19	Professional		$173.78	$218.78	$380.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $457.09	Professional		$165.96	$194.98	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $120.23 / $144.54	Facility		$61.66	$120.23	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $512.86	Professional		$181.97	$323.59	$512.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $371.54	Professional		$223.87	$288.40	$371.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $537.03	Professional		$190.55	$288.40	$537.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $30,902.95 / $33,113.11	Facility		$218.78	$30,902.95	$33,113.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $602.56	Professional		$181.97	$239.88	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $562.34	Professional		$281.84	$354.81	$562.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $323.59 / $323.59	Facility		$48.98	$323.59	$323.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $186.21 / $323.59	Professional		$48.98	$186.21	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,318.26 / $5,011.87	Facility		$144.54	$1,318.26	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $426.58	Professional		$177.83	$257.04	$426.58