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 $407.38 / $602.56 / $870.96	Professional		$407.38	$602.56	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $912.01	Professional		$436.52	$588.84	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $691.83	Professional		$489.78	$616.60	$691.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $891.25	Professional		$446.68	$588.84	$891.25
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 / $1,548.82	Professional		$426.58	$602.56	$1,548.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $912.01	Facility		$724.44	$724.44	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $977.24	Professional		$588.84	$707.95	$977.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $676.08	Facility		$309.03	$309.03	$676.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $676.08	Professional		$309.03	$436.52	$676.08
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 $407.38 / $549.54 / $933.25	Professional		$407.38	$549.54	$933.25