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 $218.78 / $263.03 / $691.83	Professional		$218.78	$263.03	$691.83
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 $338.84 / $371.54 / $371.54	Professional		$338.84	$371.54	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $501.19 / $870.96	Facility		$416.87	$501.19	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $537.03	Professional		$229.09	$295.12	$537.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $446.68	Professional		$239.88	$323.59	$446.68
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $407.38	Professional		$223.87	$263.03	$407.38
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 $223.87 / $331.13 / $794.33	Professional		$223.87	$331.13	$794.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $323.59 / $478.63	Facility		$275.42	$323.59	$478.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $512.86	Professional		$275.42	$407.38	$512.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $295.12	Facility		$234.42	$234.42	$295.12
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $478.63	Professional		$234.42	$245.47	$478.63
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 $204.17 / $269.15 / $436.52	Professional		$204.17	$269.15	$436.52