Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,778.28 / $2,511.89	Facility		$831.76	$1,778.28	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $602.56	Professional		$363.08	$489.78	$602.56
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 $407.38 / $831.76 / $1,819.70	Facility		$407.38	$831.76	$1,819.70
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 / $1,318.26	Professional		$630.96	$812.83	$1,318.26
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 $457.09 / $691.83 / $1,148.15	Professional		$457.09	$691.83	$1,148.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,778.28 / $9,332.54	Facility		$851.14	$1,778.28	$9,332.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $1,513.56	Professional		$363.08	$489.78	$1,513.56
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 $602.56 / $660.69 / $660.69	Facility		$602.56	$660.69	$660.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $660.69	Professional		$602.56	$602.56	$660.69
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