Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,621.81 / $2,691.53	Facility		$758.58	$1,621.81	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $1,174.90	Professional		$416.87	$524.81	$1,174.90
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $5,011.87	Facility		$2,344.23	$3,090.30	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,000.00	Professional		$501.19	$501.19	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,047.13 / $2,187.76	Facility		$630.96	$1,047.13	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $562.34 / $1,148.15	Professional		$302.00	$562.34	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $831.76 / $1,230.27	Professional		$446.68	$831.76	$1,230.27
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,202.26	Professional		$478.63	$776.25	$1,202.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,288.25 / $1,318.26	Facility		$794.33	$1,288.25	$1,318.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,621.81 / $2,691.53	Facility		$676.08	$1,621.81	$2,691.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $2,290.87	Professional		$426.58	$588.84	$2,290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $707.95 / $707.95	Facility		$645.65	$707.95	$707.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $707.95	Professional		$478.63	$645.65	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $776.25	Facility		$645.65	$645.65	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $794.33	Professional		$269.15	$389.05	$794.33