Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,818.38 / $8,317.64	Facility		$831.76	$2,818.38	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $371.54 / $776.25	Professional		$316.23	$371.54	$776.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $380.19 / $602.56	Professional		$363.08	$380.19	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $691.83	Professional		$288.40	$398.11	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $758.58	Professional		$436.52	$602.56	$758.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $446.68 / $616.60	Professional		$295.12	$446.68	$616.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,398.83 / $8,317.64	Facility		$660.69	$2,398.83	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $1,096.48	Professional		$323.59	$478.63	$1,096.48
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $741.31	Facility		$371.54	$371.54	$741.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $758.58	Professional		$316.23	$467.74	$758.58
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $309.03 / $933.25	Facility		$223.87	$309.03	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $933.25	Professional		$223.87	$338.84	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,621.81 / $5,128.61	Facility		$223.87	$1,621.81	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $630.96	Professional		$281.84	$380.19	$630.96