Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,862.09 / $1,862.09	Facility		$489.78	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $1,071.52	Professional		$478.63	$602.56	$1,071.52
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 $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,202.26	Facility		$776.25	$776.25	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $776.25	Professional		$575.44	$575.44	$776.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,290.87	Professional		$1,096.48	$1,584.89	$2,290.87
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,202.26	Professional		$724.44	$851.14	$1,202.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,862.09	Facility		$489.78	$489.78	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,148.15	Professional		$489.78	$616.60	$1,148.15
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,698.24 / $2,344.23	Professional		$0.60	$1,698.24	$2,344.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,479.11 / $1,778.28	Facility		$537.03	$1,479.11	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,174.90	Professional		$446.68	$588.84	$1,174.90