Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,754.40 / $8,511.38	Facility		$831.76	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,778.28	Professional		$645.65	$776.25	$1,778.28
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 $776.25 / $812.83 / $1,288.25	Professional		$776.25	$812.83	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,548.82	Professional		$616.60	$870.96	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,479.11	Professional		$851.14	$1,148.15	$1,479.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,318.26	Professional		$660.69	$912.01	$1,318.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $2,238.72	Professional		$676.08	$954.99	$2,238.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,584.89	Facility		$954.99	$954.99	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,479.11	Professional		$812.83	$977.24	$1,479.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $794.33	Facility		$4.90	$4.90	$794.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $741.31 / $1,778.28	Professional		$4.90	$741.31	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,412.54	Professional		$645.65	$891.25	$1,412.54