Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $2,454.71	Facility		$588.84	$1,584.89	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $1,380.38	Professional		$446.68	$537.03	$1,380.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $933.25	Professional		$549.54	$575.44	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $831.76 / $1,737.80	Facility		$302.00	$831.76	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,000.00	Professional		$398.11	$602.56	$1,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $758.58 / $933.25	Professional		$724.44	$758.58	$933.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $676.08 / $1,000.00	Professional		$338.84	$676.08	$1,000.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,479.11 / $2,137.96	Facility		$588.84	$1,479.11	$2,137.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $1,584.89	Professional		$457.09	$602.56	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,122.02	Professional		$776.25	$977.24	$1,122.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $407.38 / $891.25	Facility		$281.84	$407.38	$891.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $407.38 / $891.25	Professional		$58.88	$407.38	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,584.89 / $1,949.84	Facility		$831.76	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $977.24	Professional		$416.87	$575.44	$977.24