Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,778.28 / $1,778.28	Facility		$457.09	$1,778.28	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $933.25	Professional		$457.09	$549.54	$933.25
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 $616.60 / $912.01 / $1,122.02	Professional		$616.60	$912.01	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,412.54	Facility		$741.31	$741.31	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $741.31	Professional		$537.03	$537.03	$741.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,691.53	Professional		$1,318.26	$1,862.09	$2,691.53
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,122.02	Professional		$676.08	$794.33	$1,122.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,778.28	Facility		$457.09	$457.09	$1,778.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,258.93	Professional		$457.09	$575.44	$1,258.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $2,238.72	Facility		$645.65	$645.65	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,905.46 / $2,754.23	Professional		$0.60	$1,905.46	$2,754.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,047.13	Facility		$794.33	$794.33	$1,047.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,071.52	Professional		$575.44	$794.33	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,412.54 / $1,698.24	Facility		$512.86	$1,412.54	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $1,023.29	Professional		$436.52	$549.54	$1,023.29