Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,513.56 / $2,454.71	Facility		$549.54	$1,513.56	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $1,071.52	Professional		$380.19	$478.63	$1,071.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $5,011.87	Facility		$2,137.96	$2,818.38	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $954.99	Professional		$457.09	$457.09	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $954.99 / $1,995.26	Facility		$575.44	$954.99	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $512.86 / $1,023.29	Professional		$269.15	$512.86	$1,023.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $758.58 / $1,122.02	Professional		$407.38	$758.58	$1,122.02
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,096.48	Professional		$436.52	$676.08	$1,096.48
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,445.44 / $2,454.71	Facility		$549.54	$1,445.44	$2,454.71
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $2,187.76	Professional		$380.19	$524.81	$2,187.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,288.25	Professional		$831.76	$831.76	$1,288.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $645.65	Facility		$489.78	$489.78	$645.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $645.65	Professional		$489.78	$489.78	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $707.95	Facility		$588.84	$588.84	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $724.44	Professional		$245.47	$346.74	$724.44