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 $436.52 / $512.86 / $6,309.57	Professional		$436.52	$512.86	$6,309.57
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 $416.87 / $489.78 / $707.95	Professional		$416.87	$489.78	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $870.96	Facility		$501.19	$794.33	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,202.26	Professional		$407.38	$588.84	$1,202.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,621.81	Professional		$436.52	$660.69	$1,621.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $691.83	Professional		$457.09	$457.09	$691.83
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 $446.68 / $562.34 / $6,309.57	Professional		$446.68	$562.34	$6,309.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $562.34	Professional		$467.74	$467.74	$562.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $467.74	Facility		$446.68	$446.68	$467.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $1,096.48	Professional		$346.74	$467.74	$1,096.48
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 $380.19 / $512.86 / $851.14	Professional		$380.19	$512.86	$851.14