Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $831.76 / $1,148.15	Facility		$380.19	$831.76	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $602.56	Professional		$380.19	$380.19	$602.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $416.87 / $5,011.87	Facility		$346.74	$416.87	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $398.11	Professional		$380.19	$380.19	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $537.03	Professional		$398.11	$416.87	$537.03
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $758.58	Professional		$389.05	$489.78	$758.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $724.44 / $1,148.15	Facility		$380.19	$724.44	$1,148.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $831.76	Professional		$380.19	$380.19	$831.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $512.86 / $724.44	Professional		$0.60	$512.86	$724.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $478.63 / $489.78	Facility		$309.03	$478.63	$489.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $707.95	Professional		$309.03	$407.38	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $549.54	Professional		$380.19	$407.38	$549.54