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 $398.11 / $467.74 / $1,174.90	Professional		$398.11	$467.74	$1,174.90
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 $616.60 / $660.69 / $660.69	Professional		$616.60	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $741.31 / $870.96	Facility		$489.78	$741.31	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $933.25	Professional		$389.05	$512.86	$933.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $831.76	Professional		$446.68	$616.60	$831.76
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $851.14	Professional		$416.87	$512.86	$851.14
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 $407.38 / $575.44 / $1,348.96	Professional		$407.38	$575.44	$1,348.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $208.93 / $870.96	Facility		$190.55	$208.93	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $776.25 / $912.01	Professional		$190.55	$776.25	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $426.58 / $467.74	Facility		$389.05	$426.58	$467.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $977.24	Professional		$407.38	$426.58	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,122.02 / $3,890.45	Facility		$549.54	$1,122.02	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $776.25	Professional		$346.74	$467.74	$776.25