Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,187.76 / $3,548.13	Facility		$794.33	$2,187.76	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $676.08 / $1,380.38	Professional		$416.87	$676.08	$1,380.38
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 $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,380.38 / $2,884.03	Facility		$812.83	$1,380.38	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $891.25 / $1,905.46	Professional		$398.11	$891.25	$1,905.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,096.48 / $1,348.96	Professional		$398.11	$1,096.48	$1,348.96
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $831.76 / $1,479.11	Professional		$446.68	$831.76	$1,479.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,089.30 / $3,548.13	Facility		$794.33	$2,089.30	$3,548.13
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $2,187.76	Professional		$436.52	$707.95	$2,187.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $630.96 / $831.76	Facility		$331.13	$630.96	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $630.96 / $831.76	Professional		$281.84	$630.96	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $831.76 / $1,000.00	Facility		$416.87	$831.76	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $1,047.13	Professional		$338.84	$501.19	$1,047.13