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 $380.19 / $446.68 / $1,230.27	Professional		$380.19	$446.68	$1,230.27
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 $426.58 / $467.74 / $794.33	Professional		$426.58	$467.74	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $870.96	Professional		$389.05	$537.03	$870.96
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 / $549.54 / $912.01	Professional		$416.87	$549.54	$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 $398.11 / $602.56 / $1,412.54	Professional		$398.11	$602.56	$1,412.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $870.96	Facility		$562.34	$562.34	$870.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $912.01	Professional		$537.03	$645.65	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $588.84	Facility		$416.87	$416.87	$588.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $446.68	Professional		$407.38	$416.87	$446.68
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 $371.54 / $524.81 / $812.83	Professional		$371.54	$524.81	$812.83