Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $954.99 / $1,318.26	Facility		$363.08	$954.99	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $323.59 / $741.31	Professional		$251.19	$323.59	$741.31
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 $288.40 / $302.00 / $602.56	Professional		$288.40	$302.00	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $812.83 / $1,584.89	Facility		$316.23	$812.83	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $338.84 / $602.56	Professional		$162.18	$338.84	$602.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $501.19	Professional		$426.58	$426.58	$501.19
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $338.84 / $602.56	Professional		$128.82	$338.84	$602.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $660.69 / $1,318.26	Facility		$363.08	$660.69	$1,318.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $1,047.13	Professional		$263.03	$346.74	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $691.83	Professional		$446.68	$575.44	$691.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $91.20 / $302.00	Facility		$57.54	$91.20	$302.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $407.38	Professional		$58.88	$97.72	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,584.89 / $1,949.84	Facility		$812.83	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $602.56	Professional		$162.18	$346.74	$602.56