Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,691.53 / $8,317.64	Facility		$724.44	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $630.96	Professional		$245.47	$302.00	$630.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $537.03	Professional		$316.23	$331.13	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $575.44	Professional		$213.80	$323.59	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $724.44	Professional		$416.87	$575.44	$724.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $562.34	Professional		$181.97	$371.54	$562.34
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,344.23 / $7,762.47	Facility		$616.60	$2,344.23	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $380.19 / $851.14	Professional		$257.04	$380.19	$851.14
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $645.65	Facility		$257.04	$257.04	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $691.83	Professional		$257.04	$331.13	$691.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $302.00 / $309.03	Facility		$263.03	$302.00	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $331.13	Professional		$263.03	$302.00	$331.13
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 $229.09 / $316.23 / $537.03	Professional		$229.09	$316.23	$537.03