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 $190.55 / $323.59 / $660.69	Professional		$190.55	$323.59	$660.69
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $57,543.99	Facility		$3,801.89	$3,801.89	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $446.68	Professional		$281.84	$309.03	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $489.78 / $758.58	Facility		$338.84	$489.78	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $549.54	Professional		$186.21	$309.03	$549.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $794.33	Professional		$407.38	$549.54	$794.33
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $616.60	Professional		$186.21	$371.54	$616.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,344.23 / $8,317.64	Facility		$616.60	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $870.96	Professional		$194.98	$371.54	$870.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $269.15 / $758.58	Facility		$245.47	$269.15	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $588.84 / $812.83	Professional		$245.47	$588.84	$812.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $346.74 / $588.84	Facility		$125.89	$346.74	$588.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $346.74 / $524.81	Professional		$125.89	$346.74	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,137.96 / $5,128.61	Facility		$549.54	$2,137.96	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $281.84 / $478.63	Professional		$165.96	$281.84	$478.63