Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,981.07 / $8,317.64	Facility		$1,047.13	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $954.99	Professional		$331.13	$389.05	$954.99
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 / $645.65	Professional		$371.54	$389.05	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $776.25	Professional		$338.84	$457.09	$776.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $758.58	Professional		$436.52	$588.84	$758.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $758.58	Professional		$363.08	$501.19	$758.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,818.38 / $8,317.64	Facility		$954.99	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,122.02	Professional		$346.74	$524.81	$1,122.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $758.58	Facility		$446.68	$446.68	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $549.54 / $758.58	Professional		$512.86	$549.54	$758.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $524.81	Facility		$407.38	$407.38	$524.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $524.81	Professional		$363.08	$407.38	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,162.28 / $5,754.40	Facility		$1,348.96	$3,162.28	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $691.83	Professional		$309.03	$426.58	$691.83