Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,890.45 / $8,317.64	Facility		$954.99	$3,890.45	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $630.96	Professional		$223.87	$354.81	$630.96
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 $354.81 / $371.54 / $645.65	Professional		$354.81	$371.54	$645.65
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 $208.93 / $331.13 / $575.44	Professional		$208.93	$331.13	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $630.96	Professional		$457.09	$457.09	$630.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $616.60	Professional		$239.88	$380.19	$616.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,818.38 / $8,317.64	Facility		$912.01	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $912.01	Professional		$229.09	$380.19	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $707.95	Professional		$501.19	$501.19	$707.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $229.09 / $575.44	Facility		$158.49	$229.09	$575.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $416.87	Professional		$158.49	$239.88	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $7,585.78	Facility		$1,348.96	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $575.44	Professional		$208.93	$338.84	$575.44