Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,949.84 / $3,311.31	Facility		$954.99	$1,949.84	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $851.14	Professional		$457.09	$616.60	$851.14
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 $512.86 / $1,148.15 / $2,570.40	Facility		$512.86	$1,148.15	$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 / $1,023.29 / $1,659.59	Professional		$794.33	$1,023.29	$1,659.59
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $1,905.46	Professional		$812.83	$1,258.93	$1,905.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,949.84 / $3,311.31	Facility		$891.25	$1,949.84	$3,311.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $2,238.72	Professional		$457.09	$616.60	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $660.69 / $758.58	Facility		$575.44	$660.69	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $758.58	Professional		$575.44	$660.69	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $912.01	Facility		$758.58	$758.58	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $954.99	Professional		$316.23	$457.09	$954.99