Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,513.56 / $2,754.23	Professional		$691.83	$1,513.56	$2,754.23
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,122.02 / $2,691.53	Professional		$1,047.13	$1,122.02	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,513.56 / $3,019.95	Professional		$741.31	$1,513.56	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $3,388.44	Professional		$1,995.26	$2,754.23	$3,388.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,862.09 / $2,754.23	Professional		$977.24	$1,862.09	$2,754.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,698.24 / $4,168.69	Professional		$741.31	$1,698.24	$4,168.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,511.89 / $4,168.69	Professional		$954.99	$2,511.89	$4,168.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,698.24	Professional		$724.44	$912.01	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,412.54 / $2,691.53	Professional		$707.95	$1,412.54	$2,691.53