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 $407.38 / $478.63 / $1,288.25	Professional		$407.38	$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 $457.09 / $478.63 / $870.96	Professional		$457.09	$478.63	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $912.01	Professional		$398.11	$562.34	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $891.25	Professional		$512.86	$691.83	$891.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $912.01	Professional		$416.87	$562.34	$912.01
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 $426.58 / $630.96 / $1,584.89	Professional		$426.58	$630.96	$1,584.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $954.99	Facility		$524.81	$524.81	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $977.24	Professional		$467.74	$645.65	$977.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $446.68	Facility		$416.87	$416.87	$446.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $436.52 / $467.74	Professional		$416.87	$436.52	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,311.31 / $6,309.57	Facility		$1,348.96	$3,311.31	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $870.96	Professional		$389.05	$537.03	$870.96