Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,981.07 / $8,317.64	Facility		$954.99	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,230.27	Professional		$457.09	$616.60	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
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 $616.60 / $645.65 / $1,148.15	Professional		$616.60	$645.65	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,000.00	Professional		$398.11	$588.84	$1,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,096.48	Professional		$794.33	$794.33	$1,096.48
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,071.52	Professional		$436.52	$645.65	$1,071.52
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 $446.68 / $660.69 / $1,513.56	Professional		$446.68	$660.69	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,230.27	Professional		$562.34	$562.34	$1,230.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $467.74 / $616.60	Facility		$407.38	$467.74	$616.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $457.09 / $630.96	Professional		$407.38	$457.09	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,467.37 / $7,413.10	Facility		$1,348.96	$3,467.37	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,000.00	Professional		$416.87	$602.56	$1,000.00