Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,890.45 / $8,317.64	Facility		$954.99	$3,890.45	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,949.84	Professional		$602.56	$741.31	$1,949.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $57,543.99	Facility		$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $1,548.82	Professional		$812.83	$1,318.26	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,380.38	Professional		$645.65	$831.76	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,479.11	Professional		$1,047.13	$1,348.96	$1,479.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,548.82	Professional		$741.31	$1,071.52	$1,548.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,691.53 / $8,317.64	Facility		$912.01	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $2,238.72	Professional		$616.60	$851.14	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $776.25 / $1,148.15	Facility		$660.69	$776.25	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,148.15	Professional		$660.69	$776.25	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $6,606.93	Facility		$912.01	$2,754.23	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,479.11	Professional		$602.56	$812.83	$1,479.11