Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $5,370.32 / $8,511.38	Facility		$588.84	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $912.01	Professional		$281.84	$436.52	$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 $426.58 / $457.09 / $457.09	Professional		$426.58	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $549.54 / $977.24	Facility		$489.78	$549.54	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $724.44	Professional		$269.15	$407.38	$724.44
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 $549.54 / $741.31 / $1,047.13	Professional		$549.54	$741.31	$1,047.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $954.99	Professional		$363.08	$562.34	$954.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,981.07 / $8,317.64	Facility		$588.84	$3,981.07	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $1,071.52	Professional		$295.12	$501.19	$1,071.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $281.84 / $1,000.00	Facility		$245.47	$281.84	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $741.31 / $1,071.52	Professional		$245.47	$741.31	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $295.12 / $457.09	Facility		$64.57	$295.12	$457.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $302.00 / $489.78	Professional		$64.57	$302.00	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,168.69 / $10,232.93	Facility		$1,584.89	$4,168.69	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $645.65	Professional		$245.47	$389.05	$645.65