Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,370.32 / $8,511.38	Facility		$831.76	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $60.26	Professional		$22.91	$25.70	$60.26
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 $21.88 / $37.15 / $53.70	Professional		$21.88	$37.15	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $54.95	Professional		$25.70	$33.11	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $44.67	Professional		$31.62	$39.81	$44.67
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $83.18	Professional		$26.30	$33.11	$83.18
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $85.11	Professional		$22.91	$30.90	$85.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $53.70	Facility		$51.29	$51.29	$53.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $56.23	Professional		$34.67	$39.81	$56.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $27.54 / $29.51	Facility		$22.39	$27.54	$29.51
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $54.95	Professional		$22.39	$27.54	$54.95
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 $22.91 / $29.51 / $51.29	Professional		$22.91	$29.51	$51.29