Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,318.26 / $1,995.26	Facility		$398.11	$1,318.26	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $380.19 / $467.74	Professional		$134.90	$380.19	$467.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $741.31 / $1,659.59	Facility		$389.05	$741.31	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,047.13	Professional		$501.19	$645.65	$1,047.13
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,230.27	Professional		$524.81	$794.33	$1,230.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,202.26 / $1,995.26	Facility		$398.11	$1,202.26	$1,995.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $389.05 / $1,202.26	Professional		$134.90	$389.05	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $524.81	Facility		$478.63	$478.63	$524.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $524.81	Professional		$478.63	$478.63	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $575.44	Facility		$478.63	$478.63	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $478.63	Professional		$87.10	$123.03	$478.63