Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,981.07 / $8,317.64	Facility		$1,047.13	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $1,071.52	Professional		$371.54	$457.09	$1,071.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $645.65	Professional		$602.56	$645.65	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $1,778.28	Facility		$489.78	$891.25	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $467.74 / $851.14	Professional		$338.84	$467.74	$851.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $851.14	Professional		$457.09	$616.60	$851.14
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $707.95	Professional		$346.74	$446.68	$707.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,691.53 / $8,317.64	Facility		$912.01	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,380.38	Professional		$398.11	$575.44	$1,380.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $537.03 / $870.96	Facility		$478.63	$537.03	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $870.96	Professional		$478.63	$741.31	$870.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $416.87 / $426.58	Facility		$371.54	$416.87	$426.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $436.52	Professional		$371.54	$416.87	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,905.46 / $4,265.80	Facility		$549.54	$1,905.46	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $741.31	Professional		$338.84	$446.68	$741.31