Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,041.74 / $3,090.30	Facility		$977.24	$2,041.74	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $724.44	Professional		$446.68	$602.56	$724.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,202.26 / $2,570.40	Facility		$724.44	$1,202.26	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,621.81	Professional		$794.33	$1,000.00	$1,621.81
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,905.46	Professional		$812.83	$1,230.27	$1,905.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $3,090.30	Facility		$1,023.29	$1,862.09	$3,090.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $1,862.09	Professional		$446.68	$616.60	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $831.76 / $831.76	Facility		$741.31	$831.76	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $831.76	Professional		$741.31	$741.31	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $891.25	Facility		$741.31	$741.31	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $933.25	Professional		$316.23	$446.68	$933.25