Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,230.27 / $1,230.27	Facility		$316.23	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $691.83	Professional		$316.23	$446.68	$691.83
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 $426.58 / $630.96 / $776.25	Professional		$426.58	$630.96	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,000.00	Facility		$549.54	$549.54	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $549.54	Professional		$398.11	$398.11	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $1,905.46	Professional		$912.01	$1,318.26	$1,905.46
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $776.25	Professional		$467.74	$549.54	$776.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $1,230.27	Facility		$316.23	$316.23	$1,230.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $912.01	Professional		$323.59	$467.74	$912.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $1,584.89	Facility		$371.54	$371.54	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $1,584.89	Professional		$309.03	$309.03	$1,584.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $741.31	Facility		$549.54	$549.54	$741.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $912.01	Professional		$549.54	$549.54	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,047.13 / $1,258.93	Facility		$380.19	$1,047.13	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $758.58	Professional		$316.23	$380.19	$758.58