Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,659.59 / $2,818.38	Facility		$758.58	$1,659.59	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $691.83	Professional		$363.08	$489.78	$691.83
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 $398.11 / $812.83 / $1,778.28	Facility		$398.11	$812.83	$1,778.28
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 $446.68 / $691.83 / $1,122.02	Professional		$446.68	$691.83	$1,122.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,548.82 / $2,818.38	Facility		$724.44	$1,548.82	$2,818.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $1,778.28	Professional		$363.08	$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 $251.19 / $363.08 / $758.58	Professional		$251.19	$363.08	$758.58