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 $354.81 / $416.87 / $977.24	Professional		$354.81	$416.87	$977.24
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 $416.87 / $426.58 / $724.44	Professional		$416.87	$426.58	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $812.83	Professional		$331.13	$478.63	$812.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $831.76	Professional		$478.63	$645.65	$831.76
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $741.31	Professional		$380.19	$501.19	$741.31
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 $371.54 / $562.34 / $1,288.25	Professional		$371.54	$562.34	$1,288.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $851.14	Facility		$512.86	$512.86	$851.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $851.14	Professional		$489.78	$602.56	$851.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $436.52 / $467.74	Facility		$398.11	$436.52	$467.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $436.52 / $467.74	Professional		$398.11	$436.52	$467.74
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 $331.13 / $446.68 / $758.58	Professional		$331.13	$446.68	$758.58