Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,691.53 / $2,691.53	Facility		$691.83	$2,691.53	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,513.56	Professional		$660.69	$870.96	$1,513.56
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 $851.14 / $1,258.93 / $1,584.89	Professional		$851.14	$1,258.93	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,584.89	Facility		$954.99	$954.99	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $954.99	Professional		$707.95	$707.95	$954.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,019.95	Professional		$1,445.44	$2,041.74	$3,019.95
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,584.89	Professional		$933.25	$1,096.48	$1,584.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $2,691.53	Facility		$691.83	$691.83	$2,691.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,819.70	Professional		$660.69	$891.25	$1,819.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $2,089.30 / $3,019.95	Professional		$0.60	$2,089.30	$3,019.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,479.11	Facility		$741.31	$741.31	$1,479.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,513.56	Professional		$741.31	$741.31	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,089.30 / $2,511.89	Facility		$691.83	$2,089.30	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,513.56	Professional		$691.83	$870.96	$1,513.56