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 $549.54 / $660.69 / $1,513.56	Professional		$549.54	$660.69	$1,513.56
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 $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $1,047.13	Facility		$489.78	$794.33	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,258.93	Professional		$512.86	$724.44	$1,258.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,202.26	Professional		$645.65	$870.96	$1,202.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,047.13	Professional		$575.44	$691.83	$1,047.13
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 $549.54 / $794.33 / $1,819.70	Professional		$549.54	$794.33	$1,819.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $870.96 / $1,258.93	Facility		$741.31	$870.96	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,230.27	Professional		$741.31	$1,047.13	$1,230.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $758.58 / $758.58	Facility		$602.56	$758.58	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $758.58	Professional		$478.63	$602.56	$758.58
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 $501.19 / $676.08 / $1,071.52	Professional		$501.19	$676.08	$1,071.52