Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,691.53 / $8,317.64	Facility		$724.44	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $812.83	Professional		$309.03	$363.08	$812.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $630.96	Professional		$371.54	$389.05	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $691.83	Professional		$302.00	$416.87	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $851.14	Professional		$489.78	$660.69	$851.14
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $724.44	Professional		$323.59	$489.78	$724.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,344.23 / $8,317.64	Facility		$616.60	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $1,023.29	Professional		$323.59	$478.63	$1,023.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $758.58	Facility		$389.05	$389.05	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $776.25	Professional		$398.11	$426.58	$776.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $346.74 / $363.08	Facility		$309.03	$346.74	$363.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $331.13 / $380.19	Professional		$309.03	$331.13	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,238.72 / $5,128.61	Facility		$501.19	$2,238.72	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $660.69	Professional		$295.12	$398.11	$660.69