Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $8,317.64	Facility		$831.76	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $724.44	Professional		$218.78	$257.04	$724.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $630.96	Professional		$346.74	$426.58	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $489.78	Professional		$229.09	$316.23	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $436.52	Professional		$251.19	$331.13	$436.52
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $457.09	Professional		$218.78	$295.12	$457.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,344.23 / $8,317.64	Facility		$660.69	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $933.25	Professional		$229.09	$331.13	$933.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $489.78	Facility		$380.19	$380.19	$489.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $338.84 / $512.86	Professional		$323.59	$338.84	$512.86
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $309.03 / $338.84	Facility		$239.88	$309.03	$338.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $251.19 / $309.03	Professional		$114.82	$251.19	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $676.08 / $4,265.80	Facility		$144.54	$676.08	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $478.63	Professional		$208.93	$309.03	$478.63