Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,025.60 / $9,549.93	Facility		$1,288.25	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $1,230.27	Professional		$467.74	$549.54	$1,230.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $512.86 / $912.01	Professional		$489.78	$512.86	$912.01
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 $407.38 / $537.03 / $912.01	Professional		$407.38	$537.03	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $707.95	Professional		$512.86	$512.86	$707.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $537.03 / $912.01	Professional		$436.52	$537.03	$912.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,248.07 / $9,549.93	Facility		$1,047.13	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,621.81	Professional		$467.74	$616.60	$1,621.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $912.01	Professional		$630.96	$630.96	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $691.83	Facility		$489.78	$602.56	$691.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $691.83	Professional		$478.63	$588.84	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,168.69 / $12,022.64	Facility		$2,089.30	$4,168.69	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $891.25	Professional		$407.38	$549.54	$891.25