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 $295.12 / $446.68 / $912.01	Professional		$295.12	$446.68	$912.01
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $478.63	Professional		$446.68	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $524.81 / $912.01	Facility		$478.63	$524.81	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $741.31	Professional		$288.40	$426.58	$741.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,047.13	Professional		$537.03	$724.44	$1,047.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $812.83	Professional		$269.15	$501.19	$812.83
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 $309.03 / $512.86 / $1,174.90	Professional		$309.03	$512.86	$1,174.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $1,000.00	Facility		$309.03	$309.03	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $758.58 / $1,071.52	Professional		$309.03	$758.58	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $234.42 / $457.09	Facility		$117.49	$234.42	$457.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $309.03 / $489.78	Professional		$117.49	$309.03	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,951.21 / $9,549.93	Facility		$851.14	$2,951.21	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $676.08	Professional		$263.03	$398.11	$676.08