Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,621.81 / $2,630.27	Facility		$575.44	$1,621.81	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $478.63 / $602.56	Professional		$194.98	$478.63	$602.56
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 $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $933.25 / $2,041.74	Facility		$575.44	$933.25	$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 $223.87 / $602.56 / $1,047.13	Professional		$223.87	$602.56	$1,047.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,513.56 / $2,511.89	Facility		$575.44	$1,513.56	$2,511.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $489.78 / $1,778.28	Professional		$194.98	$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 $457.09 / $457.09 / $660.69	Facility		$457.09	$457.09	$660.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $616.60	Professional		$457.09	$602.56	$616.60
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 $125.89 / $181.97 / $501.19	Professional		$125.89	$181.97	$501.19