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 $346.74 / $524.81 / $1,071.52	Professional		$346.74	$524.81	$1,071.52
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 $467.74 / $537.03 / $549.54	Professional		$467.74	$537.03	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $794.33 / $3,890.45	Facility		$346.74	$794.33	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $891.25	Professional		$338.84	$501.19	$891.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,096.48	Professional		$575.44	$776.25	$1,096.48
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $891.25	Professional		$380.19	$549.54	$891.25
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 $354.81 / $588.84 / $1,348.96	Professional		$354.81	$588.84	$1,348.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $501.19 / $1,148.15	Facility		$478.63	$501.19	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $891.25 / $1,148.15	Professional		$478.63	$891.25	$1,148.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $346.74 / $537.03	Facility		$309.03	$346.74	$537.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $549.54	Professional		$309.03	$346.74	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,398.83 / $9,549.93	Facility		$549.54	$2,398.83	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $776.25	Professional		$316.23	$467.74	$776.25