Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,122.02 / $1,819.70	Facility		$354.81	$1,122.02	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $354.81 / $707.95	Professional		$123.03	$354.81	$707.95
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 $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $724.44 / $1,513.56	Facility		$426.58	$724.44	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $389.05 / $660.69	Professional		$81.28	$389.05	$660.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $575.44 / $831.76	Professional		$309.03	$575.44	$831.76
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $660.69 / $1,122.02	Professional		$169.82	$660.69	$1,122.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,096.48 / $1,819.70	Facility		$338.84	$1,096.48	$1,819.70
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $371.54 / $1,096.48	Professional		$128.82	$371.54	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $436.52	Facility		$194.98	$194.98	$436.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $436.52 / $446.68	Professional		$85.11	$436.52	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $524.81	Facility		$436.52	$436.52	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $549.54	Professional		$158.49	$263.03	$549.54