Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,754.40 / $8,511.38	Facility		$831.76	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,778.28	Professional		$575.44	$676.08	$1,778.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $954.99	Professional		$891.25	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $1,071.52	Facility		$501.19	$794.33	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,348.96	Professional		$489.78	$741.31	$1,348.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,122.02	Professional		$588.84	$794.33	$1,122.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,047.13	Professional		$562.34	$660.69	$1,047.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,905.46	Professional		$575.44	$812.83	$1,905.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,288.25	Facility		$812.83	$812.83	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,348.96	Professional		$812.83	$1,047.13	$1,348.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $912.01 / $912.01	Facility		$389.05	$912.01	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,412.54	Professional		$467.74	$630.96	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,089.30 / $6,309.57	Facility		$316.23	$2,089.30	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,096.48	Professional		$501.19	$676.08	$1,096.48