Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,023.29 / $1,659.59	Facility		$457.09	$1,023.29	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $436.52	Professional		$229.09	$309.03	$436.52
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 $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $602.56 / $1,288.25	Facility		$371.54	$602.56	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $831.76	Professional		$398.11	$512.86	$831.76
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $724.44	Professional		$281.84	$436.52	$724.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,023.29 / $1,659.59	Facility		$426.58	$1,023.29	$1,659.59
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $1,122.02	Professional		$229.09	$309.03	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $416.87 / $416.87	Facility		$380.19	$416.87	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $467.74	Professional		$309.03	$380.19	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $457.09	Facility		$380.19	$380.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $478.63	Professional		$158.49	$229.09	$478.63