Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,187.76 / $3,388.44	Facility		$831.76	$2,187.76	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,949.84	Professional		$630.96	$758.58	$1,949.84
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 $776.25 / $812.83 / $1,348.96	Professional		$776.25	$812.83	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,023.29 / $2,290.87	Facility		$398.11	$1,023.29	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,445.44	Professional		$588.84	$851.14	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,318.26	Professional		$1,023.29	$1,071.52	$1,318.26
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $954.99 / $1,412.54	Professional		$478.63	$954.99	$1,412.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,995.26 / $3,019.95	Facility		$831.76	$1,995.26	$3,019.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $2,238.72	Professional		$645.65	$831.76	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,584.89	Professional		$1,071.52	$1,412.54	$1,584.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $630.96 / $2,290.87	Facility		$398.11	$630.96	$2,290.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $794.33	Professional		$398.11	$630.96	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $2,454.71	Facility		$1,047.13	$1,995.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,412.54	Professional		$588.84	$812.83	$1,412.54