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 / $8,317.64	Facility		$1,047.13	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $1,288.25	Professional		$398.11	$478.63	$1,288.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $812.83	Professional		$446.68	$467.74	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $891.25	Professional		$380.19	$549.54	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $851.14	Professional		$489.78	$660.69	$851.14
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $891.25	Professional		$407.38	$549.54	$891.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,818.38 / $8,317.64	Facility		$954.99	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,513.56	Professional		$407.38	$616.60	$1,513.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $912.01	Facility		$537.03	$537.03	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $1,023.29	Professional		$467.74	$537.03	$1,023.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $436.52 / $478.63	Facility		$416.87	$436.52	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $436.52 / $478.63	Professional		$416.87	$436.52	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $6,309.57	Facility		$912.01	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $851.14	Professional		$380.19	$537.03	$851.14