Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,370.32 / $8,511.38	Facility		$831.76	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $851.14 / $1,621.81	Professional		$707.95	$851.14	$1,621.81
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 $1,122.02 / $1,202.26 / $1,202.26	Professional		$1,122.02	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $1,348.96	Facility		$501.19	$794.33	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,621.81	Professional		$588.84	$891.25	$1,621.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,513.56	Professional		$812.83	$1,096.48	$1,513.56
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,318.26	Professional		$645.65	$812.83	$1,318.26
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 $707.95 / $1,023.29 / $2,290.87	Professional		$707.95	$1,023.29	$2,290.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $724.44 / $1,584.89	Facility		$660.69	$724.44	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,380.38 / $1,659.59	Professional		$660.69	$1,380.38	$1,659.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $776.25	Facility		$676.08	$676.08	$776.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $912.01	Professional		$478.63	$776.25	$912.01
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 $616.60 / $851.14 / $1,412.54	Professional		$616.60	$851.14	$1,412.54