Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,513.56 / $2,570.40	Facility		$741.31	$1,513.56	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $676.08	Professional		$346.74	$467.74	$676.08
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $794.33 / $1,737.80	Facility		$389.05	$794.33	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,258.93	Professional		$616.60	$794.33	$1,258.93
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,096.48	Professional		$436.52	$676.08	$1,096.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,479.11 / $2,570.40	Facility		$691.83	$1,479.11	$2,570.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $1,737.80	Professional		$346.74	$478.63	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $588.84 / $645.65	Facility		$446.68	$588.84	$645.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $645.65	Professional		$446.68	$478.63	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $707.95	Facility		$588.84	$588.84	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $794.33	Professional		$245.47	$354.81	$794.33