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 $177.83 / $501.19 / $977.24	Professional		$177.83	$501.19	$977.24
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 $457.09 / $537.03 / $933.25	Professional		$457.09	$537.03	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $954.99 / $2,344.23	Facility		$309.03	$954.99	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $416.87 / $1,000.00	Professional		$177.83	$416.87	$1,000.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,258.93	Professional		$645.65	$891.25	$1,258.93
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $630.96 / $1,000.00	Professional		$218.78	$630.96	$1,000.00
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 $186.21 / $549.54 / $1,288.25	Professional		$186.21	$549.54	$1,288.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $1,096.48 / $1,548.82	Professional		$3.98	$1,096.48	$1,548.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $467.74 / $645.65	Facility		$177.83	$467.74	$645.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $416.87 / $575.44	Professional		$177.83	$416.87	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,089.30 / $4,265.80	Facility		$549.54	$2,089.30	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $436.52 / $851.14	Professional		$169.82	$436.52	$851.14