Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $8,317.64	Facility		$831.76	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $1,258.93	Professional		$416.87	$501.19	$1,258.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $891.25	Professional		$416.87	$602.56	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $933.25	Professional		$436.52	$602.56	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $691.83	Professional		$489.78	$630.96	$691.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $912.01	Professional		$457.09	$602.56	$912.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,344.23 / $8,317.64	Facility		$660.69	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,584.89	Professional		$426.58	$602.56	$1,584.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $933.25	Facility		$741.31	$741.31	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,000.00	Professional		$602.56	$724.44	$1,000.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $457.09 / $707.95	Facility		$309.03	$457.09	$707.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $707.95	Professional		$309.03	$436.52	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $16,595.87	Facility		$912.01	$2,754.23	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $954.99	Professional		$416.87	$549.54	$954.99