Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $5,370.32 / $8,511.38	Facility		$645.65	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $446.68 / $933.25	Professional		$190.55	$446.68	$933.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $537.03 / $537.03	Professional		$323.59	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $831.76	Professional		$199.53	$389.05	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,288.25	Professional		$758.58	$1,023.29	$1,288.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $645.65 / $1,000.00	Professional		$245.47	$645.65	$1,000.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,265.80 / $8,317.64	Facility		$724.44	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $524.81 / $1,202.26	Professional		$204.17	$524.81	$1,202.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $1,288.25	Facility		$295.12	$295.12	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $1,202.26	Professional		$275.42	$371.54	$1,202.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $302.00 / $549.54	Facility		$199.53	$302.00	$549.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $549.54 / $575.44	Professional		$199.53	$549.54	$575.44
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 $194.98 / $380.19 / $741.31	Professional		$194.98	$380.19	$741.31