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 $204.17 / $398.11 / $794.33	Professional		$204.17	$398.11	$794.33
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $316.23 / $316.23	Professional		$295.12	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $645.65 / $1,380.38	Facility		$346.74	$645.65	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $707.95	Professional		$208.93	$363.08	$707.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $912.01	Professional		$380.19	$537.03	$912.01
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $467.74 / $741.31	Professional		$239.88	$467.74	$741.31
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 $208.93 / $436.52 / $1,047.13	Professional		$208.93	$436.52	$1,047.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $436.52 / $870.96	Facility		$416.87	$436.52	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $794.33 / $1,096.48	Professional		$416.87	$794.33	$1,096.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $309.03 / $389.05	Facility		$97.72	$309.03	$389.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $389.05	Professional		$204.17	$309.03	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,778.28 / $3,890.45	Facility		$549.54	$1,778.28	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $616.60	Professional		$194.98	$346.74	$616.60