Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,621.81 / $2,630.27	Facility		$724.44	$1,621.81	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $691.83	Professional		$354.81	$478.63	$691.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $5,011.87	Facility		$2,187.76	$2,884.03	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $977.24	Professional		$467.74	$467.74	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $954.99 / $2,041.74	Facility		$588.84	$954.99	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,288.25	Professional		$630.96	$812.83	$1,288.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,122.02	Professional		$446.68	$660.69	$1,122.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,513.56 / $2,511.89	Facility		$707.95	$1,513.56	$2,511.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $1,778.28	Professional		$354.81	$489.78	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $660.69 / $1,023.29	Facility		$588.84	$660.69	$1,023.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $812.83	Professional		$602.56	$660.69	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $724.44	Facility		$602.56	$602.56	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $794.33	Professional		$251.19	$354.81	$794.33