Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,890.45 / $8,317.64	Facility		$831.76	$3,890.45	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $346.74 / $707.95	Professional		$154.88	$346.74	$707.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $309.03	Professional		$251.19	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $363.08 / $691.83	Professional		$169.82	$363.08	$691.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $257.04 / $616.60	Professional		$72.44	$257.04	$616.60
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $489.78 / $758.58	Professional		$177.83	$489.78	$758.58
Martin's Point 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
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $380.19 / $977.24	Professional		$165.96	$380.19	$977.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $812.83	Facility		$338.84	$338.84	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $645.65 / $776.25	Professional		$338.84	$645.65	$776.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $371.54 / $549.54	Facility		$93.33	$371.54	$549.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $371.54 / $549.54	Professional		$154.88	$371.54	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,548.82 / $3,890.45	Facility		$467.74	$1,548.82	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $630.96	Professional		$165.96	$331.13	$630.96