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 $389.05 / $524.81 / $954.99	Professional		$389.05	$524.81	$954.99
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 $524.81 / $537.03 / $954.99	Professional		$524.81	$537.03	$954.99
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 $346.74 / $501.19 / $812.83	Professional		$346.74	$501.19	$812.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $933.25	Professional		$676.08	$676.08	$933.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $912.01	Professional		$380.19	$549.54	$912.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,691.53 / $8,317.64	Facility		$912.01	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,380.38	Professional		$398.11	$588.84	$1,380.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,047.13	Professional		$467.74	$467.74	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $407.38 / $524.81	Facility		$354.81	$407.38	$524.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $416.87 / $562.34	Professional		$389.05	$416.87	$562.34
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 $354.81 / $512.86 / $851.14	Professional		$354.81	$512.86	$851.14