Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,317.64	Facility		$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $1,096.48	Professional		$416.87	$489.78	$1,096.48
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 $478.63 / $501.19 / $851.14	Professional		$478.63	$501.19	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $933.25	Professional		$407.38	$549.54	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $954.99	Professional		$549.54	$741.31	$954.99
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $891.25	Professional		$436.52	$575.44	$891.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $8,317.64	Facility		$954.99	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,479.11	Professional		$426.58	$645.65	$1,479.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $977.24	Facility		$562.34	$562.34	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $1,023.29	Professional		$549.54	$575.44	$1,023.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $467.74 / $478.63	Facility		$457.09	$467.74	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $478.63	Professional		$446.68	$478.63	$478.63
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 $389.05 / $524.81 / $891.25	Professional		$389.05	$524.81	$891.25