Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,412.54 / $2,089.30	Facility		$537.03	$1,412.54	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $1,000.00	Professional		$371.54	$467.74	$1,000.00
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,011.87 / $57,543.99	Facility		$1,148.15	$5,011.87	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $380.19 / $776.25	Professional		$363.08	$380.19	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $831.76 / $1,905.46	Facility		$524.81	$831.76	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $660.69 / $1,148.15	Professional		$346.74	$660.69	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $645.65	Professional		$398.11	$512.86	$645.65
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,981.07	Facility		$1,479.11	$1,479.11	$3,981.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $933.25	Professional		$389.05	$549.54	$933.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,412.54 / $2,187.76	Facility		$512.86	$1,412.54	$2,187.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $1,096.48	Professional		$389.05	$524.81	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $588.84 / $851.14	Professional		$239.88	$588.84	$851.14
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $416.87 / $676.08	Facility		$371.54	$416.87	$676.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $467.74	Professional		$309.03	$380.19	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,479.11 / $1,949.84	Facility		$831.76	$1,479.11	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $912.01	Professional		$371.54	$537.03	$912.01