Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,290.87 / $3,715.35	Facility		$758.58	$2,290.87	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $1,380.38	Professional		$436.52	$724.44	$1,380.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,365.16 / $6,165.95	Facility		$3,235.94	$4,365.16	$6,165.95
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,380.38 / $2,630.27	Facility		$602.56	$1,380.38	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $954.99 / $2,041.74	Professional		$426.58	$954.99	$2,041.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $933.25 / $1,288.25	Professional		$354.81	$933.25	$1,288.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $1,995.26	Professional		$891.25	$1,348.96	$1,995.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,238.72 / $3,715.35	Facility		$831.76	$2,238.72	$3,715.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $2,238.72	Professional		$436.52	$758.58	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $549.54 / $977.24	Facility		$11.75	$549.54	$977.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $549.54 / $977.24	Professional		$11.75	$549.54	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $1,071.52	Facility		$489.78	$891.25	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $1,202.26	Professional		$380.19	$537.03	$1,202.26