Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,548.82 / $2,630.27	Facility		$776.25	$1,548.82	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $676.08	Professional		$363.08	$489.78	$676.08
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $933.25 / $2,089.30	Facility		$407.38	$933.25	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,318.26	Professional		$645.65	$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 $660.69 / $1,000.00 / $1,548.82	Professional		$660.69	$1,000.00	$1,548.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,548.82 / $2,630.27	Facility		$707.95	$1,548.82	$2,630.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $2,137.96	Professional		$363.08	$501.19	$2,137.96
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 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $616.60	Professional		$602.56	$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 $257.04 / $363.08 / $758.58	Professional		$257.04	$363.08	$758.58