Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,801.89 / $8,317.64	Facility		$870.96	$3,801.89	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $1,479.11	Professional		$436.52	$524.81	$1,479.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $776.25	Professional		$436.52	$724.44	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $977.24	Professional		$436.52	$575.44	$977.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,023.29	Professional		$588.84	$812.83	$1,023.29
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $933.25	Professional		$467.74	$616.60	$933.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,691.53 / $8,317.64	Facility		$912.01	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,513.56	Professional		$467.74	$691.83	$1,513.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $1,071.52	Facility		$562.34	$562.34	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,047.13	Professional		$575.44	$691.83	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $501.19	Facility		$407.38	$407.38	$501.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $512.86	Professional		$407.38	$407.38	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,754.23 / $10,000.00	Facility		$1,000.00	$2,754.23	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $912.01	Professional		$416.87	$549.54	$912.01