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 $645.65 / $776.25 / $1,584.89	Professional		$645.65	$776.25	$1,584.89
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 / $1,071.52 / $1,288.25	Professional		$616.60	$1,071.52	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,445.44	Professional		$660.69	$891.25	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,071.52	Professional		$758.58	$977.24	$1,071.52
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,380.38	Professional		$691.83	$891.25	$1,380.38
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 $645.65 / $912.01 / $1,995.26	Professional		$645.65	$912.01	$1,995.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,479.11	Facility		$1,047.13	$1,047.13	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,479.11	Professional		$912.01	$1,122.02	$1,479.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $676.08 / $831.76	Facility		$467.74	$676.08	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $831.76	Professional		$467.74	$676.08	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,479.11	Professional		$630.96	$831.76	$1,479.11