Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $933.25	Professional		$302.00	$467.74	$933.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $512.86 / $870.96	Professional		$501.19	$512.86	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $891.25	Professional		$295.12	$478.63	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,148.15	Professional		$660.69	$912.01	$1,148.15
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $616.60 / $933.25	Professional		$331.13	$616.60	$933.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,801.89 / $8,317.64	Facility		$831.76	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $1,380.38	Professional		$316.23	$537.03	$1,380.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $1,071.52	Facility		$354.81	$354.81	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $1,071.52	Professional		$380.19	$457.09	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $467.74 / $489.78	Facility		$269.15	$467.74	$489.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $537.03	Professional		$323.59	$467.74	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,630.27 / $5,495.41	Facility		$912.01	$2,630.27	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $794.33	Professional		$288.40	$467.74	$794.33