Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,187.76 / $2,187.76	Facility		$562.34	$2,187.76	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,380.38	Professional		$562.34	$758.58	$1,380.38
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 $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,412.54	Facility		$851.14	$851.14	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $851.14	Professional		$630.96	$630.96	$851.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,630.27	Professional		$1,288.25	$1,819.70	$2,630.27
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,412.54	Professional		$831.76	$977.24	$1,412.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $2,187.76	Facility		$562.34	$562.34	$2,187.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,659.59	Professional		$562.34	$776.25	$1,659.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,862.09 / $2,691.53	Professional		$0.60	$1,862.09	$2,691.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $977.24 / $1,318.26	Facility		$724.44	$977.24	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,318.26	Professional		$977.24	$977.24	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,862.09 / $2,238.72	Facility		$676.08	$1,862.09	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,258.93	Professional		$562.34	$691.83	$1,258.93