Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,137.96 / $2,137.96	Facility		$549.54	$2,137.96	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,071.52	Professional		$537.03	$691.83	$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 $741.31 / $1,096.48 / $1,348.96	Professional		$741.31	$1,096.48	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,479.11	Facility		$758.58	$758.58	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $758.58	Professional		$549.54	$549.54	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,818.38	Professional		$1,380.38	$1,949.84	$2,818.38
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,348.96	Professional		$812.83	$954.99	$1,348.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $2,137.96	Facility		$549.54	$549.54	$2,137.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $1,318.26	Professional		$549.54	$707.95	$1,318.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,995.26 / $2,884.03	Professional		$0.60	$1,995.26	$2,884.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,258.93	Facility		$954.99	$954.99	$1,258.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,318.26	Professional		$954.99	$954.99	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,621.81 / $1,949.84	Facility		$588.84	$1,621.81	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,202.26	Professional		$501.19	$660.69	$1,202.26