Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,981.07 / $8,317.64	Facility		$1,047.13	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $954.99	Professional		$380.19	$446.68	$954.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $741.31	Professional		$398.11	$416.87	$741.31
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 $323.59 / $426.58 / $741.31	Professional		$323.59	$426.58	$741.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $602.56	Professional		$436.52	$436.52	$602.56
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $741.31	Professional		$354.81	$416.87	$741.31
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 $389.05 / $501.19 / $1,380.38	Professional		$389.05	$501.19	$1,380.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $933.25	Professional		$537.03	$741.31	$933.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $398.11 / $407.38	Facility		$323.59	$398.11	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $676.08	Professional		$309.03	$398.11	$676.08
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 $338.84 / $436.52 / $741.31	Professional		$338.84	$436.52	$741.31