Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,318.26 / $2,951.21	Facility		$338.84	$1,318.26	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $630.96	Professional		$281.84	$380.19	$630.96
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 $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $660.69	Facility		$489.78	$489.78	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $489.78	Professional		$354.81	$354.81	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,258.93	Professional		$616.60	$870.96	$1,258.93
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 / $501.19 / $776.25	Professional		$467.74	$501.19	$776.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,318.26 / $2,951.21	Facility		$338.84	$1,318.26	$2,951.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $758.58	Professional		$281.84	$389.05	$758.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $933.25 / $1,288.25	Professional		$0.60	$933.25	$1,288.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $724.44	Facility		$363.08	$363.08	$724.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $741.31	Professional		$363.08	$363.08	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $891.25 / $1,071.52	Facility		$295.12	$891.25	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $660.69	Professional		$316.23	$407.38	$660.69