Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,981.07 / $8,511.38	Facility		$1,047.13	$3,981.07	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $1,096.48	Professional		$371.54	$446.68	$1,096.48
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 / $616.60 / $660.69	Professional		$616.60	$616.60	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $870.96	Professional		$363.08	$501.19	$870.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $977.24	Professional		$562.34	$758.58	$977.24
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $776.25	Professional		$416.87	$575.44	$776.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,090.30 / $8,317.64	Facility		$954.99	$3,090.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $1,412.54	Professional		$389.05	$575.44	$1,412.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $891.25	Facility		$436.52	$436.52	$891.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $436.52 / $891.25	Professional		$407.38	$436.52	$891.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $426.58	Facility		$346.74	$407.38	$426.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $457.09	Professional		$407.38	$407.38	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $12,882.50 / $56,234.13	Facility		$3,890.45	$12,882.50	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $812.83	Professional		$363.08	$489.78	$812.83