Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,819.70 / $2,818.38	Facility		$724.44	$1,819.70	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $758.58	Professional		$407.38	$549.54	$758.58
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 $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,071.52 / $2,290.87	Facility		$660.69	$1,071.52	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,479.11	Professional		$707.95	$912.01	$1,479.11
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,288.25	Professional		$512.86	$776.25	$1,288.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,819.70 / $2,818.38	Facility		$933.25	$1,819.70	$2,818.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $1,698.24	Professional		$407.38	$549.54	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $676.08 / $741.31	Facility		$537.03	$676.08	$741.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $741.31	Professional		$537.03	$676.08	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $812.83	Facility		$676.08	$676.08	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $851.14	Professional		$281.84	$407.38	$851.14