Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $8,317.64	Facility		$831.76	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $912.01	Professional		$331.13	$398.11	$912.01
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $630.96	Professional		$323.59	$380.19	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $794.33 / $5,370.32	Facility		$346.74	$794.33	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $758.58	Professional		$281.84	$407.38	$758.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $741.31	Professional		$407.38	$549.54	$741.31
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $630.96	Professional		$295.12	$398.11	$630.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,344.23 / $8,317.64	Facility		$660.69	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $1,174.90	Professional		$346.74	$512.86	$1,174.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $371.54 / $758.58	Facility		$316.23	$371.54	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $660.69 / $794.33	Professional		$316.23	$660.69	$794.33
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $363.08 / $1,023.29	Facility		$251.19	$363.08	$1,023.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $1,023.29	Professional		$275.42	$380.19	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,630.78 / $10,232.93	Facility		$1,258.93	$3,630.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $645.65	Professional		$288.40	$380.19	$645.65