Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,122.02 / $1,698.24	Facility		$537.03	$1,122.02	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $398.11	Professional		$269.15	$331.13	$398.11
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 $316.23 / $316.23 / $741.31	Professional		$316.23	$316.23	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $660.69 / $1,412.54	Facility		$398.11	$660.69	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $891.25	Professional		$426.58	$549.54	$891.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $851.14	Professional		$338.84	$489.78	$851.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,023.29 / $1,698.24	Facility		$562.34	$1,023.29	$1,698.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $1,023.29	Professional		$275.42	$338.84	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $501.19	Facility		$407.38	$407.38	$501.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $501.19	Professional		$407.38	$407.38	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $489.78	Facility		$407.38	$407.38	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $562.34	Professional		$173.78	$245.47	$562.34