Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,412.54 / $1,412.54	Facility		$363.08	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $776.25	Professional		$363.08	$457.09	$776.25
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 $489.78 / $724.44 / $912.01	Professional		$489.78	$724.44	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $977.24	Facility		$501.19	$501.19	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $501.19	Professional		$363.08	$363.08	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,862.09	Professional		$891.25	$1,288.25	$1,862.09
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $912.01	Professional		$537.03	$630.96	$912.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $1,412.54	Facility		$363.08	$363.08	$1,412.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $1,023.29	Professional		$363.08	$478.63	$1,023.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,548.82	Facility		$588.84	$588.84	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $588.84 / $1,584.89	Professional		$0.60	$588.84	$1,584.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $851.14	Facility		$630.96	$630.96	$851.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $891.25	Professional		$630.96	$851.14	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,096.48 / $1,318.26	Facility		$398.11	$1,096.48	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $794.33	Professional		$331.13	$446.68	$794.33