Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $3,235.94	Facility		$724.44	$1,995.26	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,412.54	Professional		$588.84	$724.44	$1,412.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $5,128.61	Facility		$2,691.53	$3,630.78	$5,128.61
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,288.25 / $2,691.53	Facility		$758.58	$1,288.25	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $831.76 / $1,778.28	Professional		$371.54	$831.76	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,023.29 / $1,479.11	Professional		$549.54	$1,023.29	$1,479.11
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $1,949.84	Professional		$776.25	$1,288.25	$1,949.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,949.84 / $3,235.94	Facility		$724.44	$1,949.84	$3,235.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $2,884.03	Professional		$588.84	$794.33	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,202.26	Facility		$776.25	$1,202.26	$1,202.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,202.26	Professional		$776.25	$776.25	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $933.25	Facility		$776.25	$776.25	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $977.24	Professional		$331.13	$467.74	$977.24