Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,890.45 / $8,317.64	Facility		$954.99	$3,890.45	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $954.99	Professional		$302.00	$436.52	$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 $457.09 / $467.74 / $851.14	Professional		$457.09	$467.74	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $831.76	Professional		$323.59	$489.78	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $977.24	Professional		$575.44	$776.25	$977.24
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $537.03 / $812.83	Professional		$302.00	$537.03	$812.83
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 $316.23 / $524.81 / $1,288.25	Professional		$316.23	$524.81	$1,288.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $933.25	Facility		$489.78	$489.78	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $1,000.00	Professional		$588.84	$616.60	$1,000.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $407.38 / $562.34	Facility		$316.23	$407.38	$562.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $467.74	Professional		$316.23	$407.38	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,000.00	Facility		$1,348.96	$3,548.13	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $776.25	Professional		$316.23	$478.63	$776.25